Individual provider Active NPI

Shimin Bao, M.A., BCBA

  • Behavior Analyst
  • Sugar Land, TX
National Provider Identifier
1669842316
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
12930 Dairy Ashford Rd Ste 802
Sugar Land, TX 77478-4667
Phone
(979) 418-1551
NPI assigned
Oct 6, 2015
Last updated
Nov 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

12930 Dairy Ashford Rd Ste 802
Sugar Land, TX 77478-4667

Mailing address

12930 Dairy Ashford Rd Ste 802
Sugar Land, TX 77478-4667
Phone (979) 418-1551

Other practice location 1

1802 Brinton Spring Ln
Pearland, TX 77581-2537
Phone (832) 713-8435

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
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Every Little Star LLC CurrentSince Jul 23, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1669842316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12930 DAIRY ASHFORD RD STE 802",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784667",
            "telephone_number": "979-418-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12930 DAIRY ASHFORD RD STE 802",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784667",
            "telephone_number": "979-418-1551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1802 Brinton Spring Ln",
            "address_purpose": "LOCATION",
            "city": "Pearland",
            "state": "TX",
            "postal_code": "775812537",
            "country_code": "US",
            "telephone_number": "832-713-8435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAO",
        "first_name": "SHIMIN",
        "name_prefix": "Mrs.",
        "credential": "M.A., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-06",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.