Shoreline Behavior Supports

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SHORELINE BEHAVIOR SUPPORTS

Practice address

2108 N St Ste N
Sacramento, CA 95816-5712

Phone

(805) 407-0205

NPI assigned

Mar 4, 2022

Organization subpart

No

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

Authorized official

Name

Ryan Jacob Barroso, BCBANPI 1003424557

Title

Owner

Phone

(805) 407-0205

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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

• Ryan Jacob Barroso, M.S., BCBA

  • Behavior Analyst
  • Los Angeles, CA
  • NPI 1003424557
  NPD Authorized official

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

{
    "created_epoch": "1646352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1518614064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9452 TELEPHONE RD # 187",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930042600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 N ST STE N",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165712",
            "telephone_number": "805-407-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE BEHAVIOR SUPPORTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-04",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-04",
        "status": "A",
        "authorized_official_last_name": "BARROSO",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "JACOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-407-0205",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• H Brian Shontz, PA
• Alisha Shook
• Lateeshia Courtney Shoots, LVN
• Ryann Shor, MD
• Taha G. Shoreibah, D.D.S
• Christina Short
• Tina Marie Short, R.N.
• Howard Shortley, M.D.
• Lindsay Ann Shortliffe, PSY.D.
• Christopher Shorts, PHARM.D, R.PH

• Behavior Analyst in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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.