Active NPI
Shaneya Lynn Buenrostro, M. ED
- Behavior Analyst
- Sacramento, CA
National Provider Identifier
1497268536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 800 Howe Ave Ste 140
Sacramento, CA 95825 - Phone
- (916) 350-1737
- NPI assigned
- Nov 12, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary | ||
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
800 Howe Ave Ste 140
Sacramento, CA 95825
Mailing address
16782 Von Karman Ave Ste 11
Irvine, CA 92606-2417
Phone (949) 833-2237
Other practice location 1
8725 La Riviera Dr Apt 126
Sacramento, CA 95826-1856
Phone (916) 541-4299
Other practice location 2
8725 La Riviera Dr Apt 126
Sacramento, CA 95826-1856
Phone (916) 541-4299
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11238647 | Medicaid | CA |
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
- Credentials
- Master of Education
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Behavior Hive LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Early Intervention Provider Agency
- Honolulu, HI
- NPI 1114854528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555977600000",
"number": "1497268536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16782 VON KARMAN AVE STE 11",
"city": "IRVINE",
"state": "CA",
"postal_code": "926062417",
"telephone_number": "949-833-2237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 HOWE AVE STE 140",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95825",
"telephone_number": "916-350-1737"
}
],
"practiceLocations": [
{
"address_1": "8725 La Riviera Dr Apt 126",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958261856",
"country_code": "US",
"telephone_number": "916-541-4299",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8725 La Riviera Dr Apt 126",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958261856",
"country_code": "US",
"telephone_number": "916-541-4299",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUENROSTRO",
"first_name": "SHANEYA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "M. ED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-12",
"last_updated": "2019-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "11238647",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.