Shantoria Shanae Thompson
Individual provider Active NPI Behavior Technician · Oakland, CA
NPI 1770048472 · NPPES record last updated Feb 6, 2019
Key facts
- NPI
- 1770048472
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1999 Harrison St Ste 1800
Oakland, CA 94612-4700 - Phone
- (916) 720-3098
- NPI assigned
- Feb 6, 2019
- Sex
- Female
- Sole proprietor
- No
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
1999 Harrison St Ste 1800
Oakland, CA 94612-4700
Mailing address
1023 75TH Ave
Oakland, CA 94621-2913
Phone (510) 880-9910
Other providers in Oakland, CA
- Pearl Thompson
- Phyliss Thompson
- Ruth Thompson
- Ryan Thompson
- Sabrina Thompson
- Tajanique Thompson
- Tiffany Thompson
- Gary Thomsen
- Janet Thomson
- Myla Thong
All providers in Oakland, 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 Feb 6, 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.