Aysa Shaffer, MS, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-12-12189 Issued in CA

Practice address

1909 Pelham Ave Unit 104
Los Angeles, CA 90025-5842

Phone

(805) 291-2130

NPI assigned

Nov 16, 2012

Last updated

Nov 16, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Aysa Badmaeva Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1353024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353024000000",
    "number": "1558605352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 PELHAM AVE UNIT 104",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255842",
            "telephone_number": "805-291-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 PELHAM AVE UNIT 104",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255842",
            "telephone_number": "805-291-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "AYSA",
        "credential": "MS, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-16",
        "last_updated": "2012-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-12-12189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AYSA",
            "last_name": "BADMAEVA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Farhad Shafa, DDS
• Mark Mahbod Shafa, MD
• Shadi Shafagh
• Neda Shafaghi, M.D.
• Judy Eileen Shafer
• Benjamin Shaffer, SLP
• Jessica Lynne Shaffer, MSW
• Matthew Shaffer, MSN, APRN, FNP-BC
• Pamela Holly Shaffer
• Temeka Lynnell Shaffer

• Behavior Analyst in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; 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.