La Shonda Renee Cyprian
Individual provider Active NPI Behavior Technician · Landcaster, CA
NPI 1558091470 · NPPES record last updated Jun 14, 2022
Key facts
- NPI
- 1558091470
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 626 W Landcaster BL 52
Landcaster, CA 93550 - Phone
- (661) 258-3211
- Fax
- (855) 568-2494
- NPI assigned
- Jun 14, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
626 W Landcaster BL 52
Landcaster, CA 93550
Mailing address
626 W Landcaster BL #52
Landcaster, CA 93543
Phone (661) 258-3211
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.