Individual provider Active NPI

Shanda Strickland

  • Behavior Analyst
  • Aiea, HI
National Provider Identifier
1861850307
Registry record updated Feb 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BA-104 Issued in HI
Practice address
98-820 Moanalua Rd Space 5
PMB 161
Aiea, HI 96701
Phone
(808) 845-6080
NPI assigned
Jan 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BA-104 HI Primary

Addresses

Primary practice location

98-820 Moanalua Rd Space 5
PMB 161
Aiea, HI 96701

Mailing address

PO Box 894811
Mililani, HI 96789-8331
Phone (808) 344-7972

Other practice location 1

94-1221 Ka Uka Blvd Ste 108
Box 277
Waipahu, HI 96797-6299
Phone (808) 344-7972

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shanda@balancedaba.com

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

State licenses

LicenseStateTypeSpecialty
BA-104HIMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced ABA Behavior Analyst Current Accepting new patients

Locations

98-820 Moanalua Rd
Spc 5
Aiea, HI 96701
Phone (808) 630-9822

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.

NPI Registry JSON

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

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581206400000",
    "number": "1861850307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 894811",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967898331",
            "telephone_number": "808-344-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-820 MOANALUA RD SPACE 5",
            "address_2": "PMB 161",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "96701",
            "telephone_number": "808-845-6080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "94-1221 Ka Uka Blvd Ste 108",
            "address_2": "Box 277",
            "address_purpose": "LOCATION",
            "city": "Waipahu",
            "state": "HI",
            "postal_code": "967976299",
            "country_code": "US",
            "telephone_number": "808-344-7972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRICKLAND",
        "first_name": "SHANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-28",
        "last_updated": "2020-02-09",
        "certification_date": "2020-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "HI",
            "license": "BA-104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shanda@balancedaba.com",
            "affiliation": "N",
            "endpointDescription": "Company Email",
            "address_1": "98-820 Moanalua Rd Space 5",
            "address_2": "PMB 161",
            "city": "Aiea",
            "state": "HI",
            "country_code": "US",
            "postal_code": "96701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2020; 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.