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MY SHADOW NPI 1710422506


NPI Information

NPI: 1710422506
Provider Name: MY SHADOW

Doing Business As: DBA

Classification: Assistant Behavior Analyst - 106E00000X
Entity Type: Organization
Address:
11301 W OLYMPIC BLVD
SUITE 300
LOS ANGELES, CA
ZIP 90064
Phone: (310) 721-2101
Get Directions

MY SHADOW is an assistant behavior analyst in Los Angeles, CA. The provider is an assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. MY SHADOW NPI is 1710422506. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Dba.

The provider's business location address is:

11301 W OLYMPIC BLVD
SUITE 300
LOS ANGELES, CA
ZIP 90064-653
Phone: (310) 721-2101

The provider's authorized official is Natasha Parsakia .
The authorized official title is Owner/supervisor/bcba and has the following contact phone number (310) 721-2101.

The enumeration date for this NPI number is 1/3/2017 and was last updated on 1/3/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1106E00000XAssistant Behavior AnalystYes
2251S00000XCommunity/Behavioral HealthNo

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.