NPIMap

Organization Active NPI

Shine Learning Alliance

  • Behavior Analyst
  • Irvine, CA
National Provider Identifier
1508406331
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SHINE LEARNING ALLIANCE
Practice address
5200 Bonita Canyon Dr
Irvine, CA 92603-0165
Phone
(949) 682-9557
NPI assigned
Jan 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jessica Ann Marines, BCBA
Title
Behavior Analyst
Phone
(714) 400-1095

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

5200 Bonita Canyon Dr
Irvine, CA 92603-0165

Mailing address

2107 Indian Springs LN
Newport Beach, CA 92660-3617
Phone (714) 400-1095

Other practice location 1

15 Calle Alumbrado
San Clemente, CA 92673-6709
Phone (949) 682-9557

Other practice location 2

2107 Indian Springs Ln
Newport Beach, CA 92660-3617
Phone (714) 400-1095

National Provider Directory

National Provider Directory

Locations

5200 Bonita Canyon Dr
Irvine, CA 92603
Phone (949) 682-9557

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578528000000",
    "number": "1508406331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 INDIAN SPRINGS LN",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926603617",
            "telephone_number": "714-400-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 BONITA CANYON DR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926030165",
            "telephone_number": "949-682-9557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Calle Alumbrado",
            "address_purpose": "LOCATION",
            "city": "San Clemente",
            "state": "CA",
            "postal_code": "926736709",
            "country_code": "US",
            "telephone_number": "949-682-9557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2107 Indian Springs Ln",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926603617",
            "country_code": "US",
            "telephone_number": "714-400-1095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHINE LEARNING ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-09",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A",
        "authorized_official_last_name": "MARINES",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "714-400-1095",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.