Shawnee Banuelos
Individual provider Active NPI Behavior Technician · Placentia, CA
NPI 1700429024 · NPPES record last updated Oct 18, 2019
Key facts
- NPI
- 1700429024
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 701 W Kimberly Ave Ste 245
Placentia, CA 92870-6345 - Phone
- (714) 780-2282
- NPI assigned
- Oct 18, 2019
- Sex
- Female
- Sole proprietor
- Yes
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
701 W Kimberly Ave Ste 245
Placentia, CA 92870-6345
Mailing address
321 Bishop Dr
La Habra, CA 90631-2901
Other providers in Placentia, CA
- Charlotte Bader
- Avery Rose Baehr
- Sona Baghdasaryan
- Jason J Baietto
- Britney Anne Baker
- Brent Anthony Barcellona
- Barclay Chiropractic Inc.
- Natalie Bardales
- Alexandra Megan Tillie McFee Barrett
- Noemi Barrientos Santoyo
All providers in Placentia, CA · Behavior Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2019. 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.