Individual provider Active NPI

Daniel B Shabani, PH.D., BCBA-D

  • Behavior Analyst
  • Manhattan Beach, CA
National Provider Identifier
1952690414
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1010664 Issued in CA
Practice address
405 5TH St
Manhattan Beach, CA 90266-5713
Phone
(310) 310-2931
Fax
(323) 747-7023
NPI assigned
Apr 5, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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 1010664 CA Primary

Addresses

Primary practice location

405 5TH St
Manhattan Beach, CA 90266-5713

Mailing address

405 5TH St
Manhattan Beach, CA 90266-5713
Phone (310) 310-2931

Other identifiers 1

IdentifierTypeStateIssuer
1-01-0664OtherBCBA

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1010664CAMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1952690414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 5TH ST",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902665713",
            "telephone_number": "310-310-2931",
            "fax_number": "323-747-7023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 5TH ST",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902665713",
            "telephone_number": "310-310-2931",
            "fax_number": "323-747-7023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHABANI",
        "first_name": "DANIEL",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PH.D., BCBA-D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-05",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1010664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA",
            "identifier": "1-01-0664",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.