Tarryn Shanae Macon, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-50688 Issued in CA

Practice address

3336 Bradshaw Rd Ste 140
Sacramento, CA 95827-2697

Phone

(310) 856-0800

Fax

(855) 568-2494

NPI assigned

Aug 15, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1821514522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18726 S WESTERN AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902483813",
            "telephone_number": "310-856-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3336 BRADSHAW RD STE 140",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958272697",
            "telephone_number": "310-856-0800",
            "fax_number": "855-568-2494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1013 Callawassie Way",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "95747",
            "country_code": "US",
            "telephone_number": "702-371-9107",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1013 Callawassie Way",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "95747",
            "country_code": "US",
            "telephone_number": "702-371-9107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACON",
        "first_name": "TARRYN",
        "middle_name": "SHANAE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-15",
        "last_updated": "2022-07-21",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-21-50688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Stokes Macmorris, MA, LMFT
• Hailey Rose Macnear, M.D.
• Natalie Lynne Macneill
• Haley Maco
• Sharynne Macon
• Catriona Macrae
• Stephen M. Macres, M.D.
• Macro Diabetic, LLC
• Alexis Macy, PSY.D
• Sarah K Macys

• Behavior Analyst in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.