Active NPI
Shai Maor, BA
- Behavior Analyst
- Glendale, CA
National Provider Identifier
1760849574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 251C0000X
- Practice address
- 1555 N Verdugo Rd
Unit 201
Glendale, CA 91208-2839 - Phone
- (213) 278-0500
- NPI assigned
- Jan 25, 2016
- Sex
- Male
- Sole proprietor
- No
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 | 251C0000X | CA | Primary |
Addresses
Primary practice location
1555 N Verdugo Rd
Unit 201
Glendale, CA 91208-2839
Mailing address
512 S Hobart Blvd
Apt. 503
Los Angeles, CA 90020-3748
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
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 251C0000X | CA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Panda Learning Services, Inc. | Past | 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 and National Provider Directory roles.
-
- Early Intervention Provider Agency
- Glendale, CA
- NPI 1457734071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453680000000",
"number": "1760849574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "512 S HOBART BLVD",
"address_2": "APT. 503",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900203748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1555 N VERDUGO RD",
"address_2": "UNIT 201",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912082839",
"telephone_number": "213-278-0500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAOR",
"first_name": "SHAI",
"name_prefix": "Mr.",
"credential": "BA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-01-25",
"last_updated": "2016-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "251C0000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.