Active NPI
Shahab Sean Peikari, BCBA
- Behavior Analyst
- Southlake, TX
National Provider Identifier
1497146997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-17-28634
- Practice address
- 2815 Exchange Blvd Ste 100
Southlake, TX 76092-7515 - Phone
- (516) 510-1205
- NPI assigned
- Feb 5, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-17-28634 | FL | Primary |
Addresses
Primary practice location
2815 Exchange Blvd Ste 100
Southlake, TX 76092-7515
Mailing address
9927 Wethers Field Cir
Providence Village, TX 76227-8590
Phone (469) 441-7099
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-17-28634 | Other | FL | BACB CERTIFICATION NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631232000000",
"number": "1497146997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9927 WETHERS FIELD CIR",
"city": "PROVIDENCE VILLAGE",
"state": "TX",
"postal_code": "762278590",
"telephone_number": "469-441-7099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2815 EXCHANGE BLVD STE 100",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760927515",
"telephone_number": "516-510-1205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEIKARI",
"first_name": "SHAHAB",
"middle_name": "SEAN",
"name_prefix": "Mr.",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-05",
"last_updated": "2021-09-10",
"certification_date": "2021-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-17-28634",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BACB CERTIFICATION NUMBER",
"identifier": "1-17-28634",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Southlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.