MS. SHINTA DESENTIA FRAYA RBT NPI 1245726348

NPI Information

NPI: 1245726348
Provider Name: MS. SHINTA DESENTIA FRAYA, RBT
Classification:
Entity Type: Individual
Address:
123 GRANDE WAY STE B
RIDGECREST, CA
ZIP 93555
Phone: (760) 792-3089
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MS. Shinta Desentia Fraya, RBT is a healthcare provider in Ridgecrest, CA. MS. Shinta Desentia Fraya, RBT NPI is 1245726348. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

123 GRANDE WAY STE B
RIDGECREST, CA
ZIP 93555
Phone: (760) 792-3089

The enumeration date for this NPI number is 7/2/2018 and was last updated on 2/15/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	106S00000X	Behavior Technician		BACB402765		No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	RBT-18-59780	OTHER		BEHAVIOR ANALYST CERTIFICATION BOARD
2	BACB402765	OTHER		BEHAVIOR ANALYST CERTIFICATION BOARD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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