Organization Active NPI

Gold Stars Behavior Therapy Inc.

  • Behavior Analyst
  • Oakhurst, CA
National Provider Identifier
1760070528
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
GOLD STARS BEHAVIOR THERAPY INC.
Practice address
40476 Griffin Dr
Oakhurst, CA 93644-8742
Phone
(818) 932-5203
NPI assigned
Jan 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Authorized official

Name
Shahnaz Sodager
Title
Bcba
Phone
(818) 932-5203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

40476 Griffin Dr
Oakhurst, CA 93644-8742

Mailing address

40476 Griffin Dr
Oakhurst, CA 93644-8742

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609977600000",
    "number": "1760070528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40476 GRIFFIN DR",
            "city": "OAKHURST",
            "state": "CA",
            "postal_code": "936448742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40476 GRIFFIN DR",
            "city": "OAKHURST",
            "state": "CA",
            "postal_code": "936448742",
            "telephone_number": "818-932-5203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD STARS BEHAVIOR THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-07",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A",
        "authorized_official_last_name": "SODAGER",
        "authorized_official_first_name": "SHAHNAZ",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "818-932-5203"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakhurst, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.