Individual provider Active NPI

Jaclyn Ann Shandy, M.A., BCBA

  • Behavior Analyst
  • Sacramento, CA
National Provider Identifier
1962767640
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-07-3409 BCBA Issued in CA
Practice address
425 University Ave Ste 201
Sacramento, CA 95825-6509
Phone
(916) 448-2050
Fax
(916) 448-6050
NPI assigned
Jul 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

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 1-07-3409 BCBA CA Primary

Addresses

Primary practice location

425 University Ave Ste 201
Sacramento, CA 95825-6509

Mailing address

3920 Norris Ave
Sacramento, CA 95821-2839
Phone (916) 879-0021

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

Practice roles

OrganizationSpecialtyStatusNew patients
B.E.S.T. Consulting, Inc. Behavior Analyst PastSince May 8, 2022 Accepting new patients

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": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1962767640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 NORRIS AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958212839",
            "telephone_number": "916-879-0021",
            "fax_number": "916-448-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 UNIVERSITY AVE STE 201",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256509",
            "telephone_number": "916-448-2050",
            "fax_number": "916-448-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANDY",
        "first_name": "JACLYN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "M.A., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-10",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-07-3409 BCBA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.