Individual provider Active NPI

Danielle Nicole Shamsie Prejean, MA,BCBA, LBA, CATP

  • Behavior Analyst
  • Lake Charles, LA
National Provider Identifier
1902146087
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-13-12827 Issued in LA
Practice address
7004 Shadow LN
Lake Charles, LA 70605-9055
Phone
(337) 540-0713
Fax
(337) 214-2112
NPI assigned
Feb 26, 2013
Last updated
Sep 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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 1-13-12827 LA Primary

Addresses

Primary practice location

7004 Shadow LN
Lake Charles, LA 70605-9055

Mailing address

7004 Shadow LN
Lake Charles, LA 70605-9055
Phone (337) 540-0713

Other names 1

  • Mrs. Danielle Nicole Shamsie Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address danielle@shamsiebehavioral.com Direct

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
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1902146087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7004 SHADOW LN",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706059055",
            "telephone_number": "337-540-0713",
            "fax_number": "337-214-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7004 SHADOW LN",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706059055",
            "telephone_number": "337-540-0713",
            "fax_number": "337-214-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMSIE PREJEAN",
        "first_name": "DANIELLE",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "MA,BCBA, LBA, CATP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-26",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "LA",
            "license": "1-13-12827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "danielle@shamsiebehavioral.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7004 Shadow Ln",
            "city": "Lake Charles",
            "state": "LA",
            "country_code": "US",
            "postal_code": "706059055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "SHAMSIE",
            "middle_name": "NICOLE",
            "prefix": "MRS.",
            "credential": "M.A., BCBA, LBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake Charles, LA

Sources for this page

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