NPI 1023573938

Shannon Nicole Stanford, BCBA

Practitioner Behavior Analyst Encino, CA

Practice location

Address: 5435 Balboa Blvd STE 202, Encino, CA 91316-1570
Phone: (818) 987-8104
Fax: (310) 933-4134
Mailing address: 6601 Louise Ave, Lake Balboa, CA 91406-5435

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 1-18-34024 (CA)

Other Behavior Analyst providers in California →

Registry record

NPI: 1023573938
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Feb 2019
Record last updated: 5 Feb 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.