Active NPI
Shawna Marie Conway, BCBA
- Behavior Analyst
- San Diego, CA
National Provider Identifier
1972960151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-15-21238
- Practice address
- 7676 Hazard Center Dr
500
San Diego, CA 92108-4503 - Phone
- (619) 497-2534
- NPI assigned
- Jan 19, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-15-21238 | CA | Primary |
Addresses
Primary practice location
7676 Hazard Center Dr
500
San Diego, CA 92108-4503
Mailing address
7676 Hazard Center Dr
500
San Diego, CA 92108-4503
Phone (619) 497-2534
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453161600000",
"number": "1972960151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7676 HAZARD CENTER DR",
"address_2": "500",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921084503",
"telephone_number": "619-497-2534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7676 HAZARD CENTER DR",
"address_2": "500",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921084503",
"telephone_number": "619-497-2534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONWAY",
"first_name": "SHAWNA",
"middle_name": "MARIE",
"name_prefix": "Miss",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-19",
"last_updated": "2016-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-15-21238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.