Active NPI
Amy Graboske
- Behavior Analyst
- Laguna Beach, CA
National Provider Identifier
1629616701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 276 Canyon Acres Dr
Laguna Beach, CA 92651-1106 - Phone
- (949) 525-0192
- NPI assigned
- Dec 19, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | CA | Primary |
Addresses
Primary practice location
276 Canyon Acres Dr
Laguna Beach, CA 92651-1106
Mailing address
276 Canyon Acres Dr
Laguna Beach, CA 92651-1106
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | amy@shinelearningalliance.com |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576713600000",
"number": "1629616701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "276 CANYON ACRES DR",
"city": "LAGUNA BEACH",
"state": "CA",
"postal_code": "926511106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "276 CANYON ACRES DR",
"city": "LAGUNA BEACH",
"state": "CA",
"postal_code": "926511106",
"telephone_number": "949-525-0192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRABOSKE",
"first_name": "AMY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-19",
"last_updated": "2019-12-19",
"certification_date": "2019-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amy@shinelearningalliance.com",
"affiliation": "N",
"address_1": "276 Canyon Acres Dr",
"city": "Laguna Beach",
"state": "CA",
"country_code": "US",
"postal_code": "926511106",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Laguna Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.