Shelby Andrade
Behavior Technician in Canoga Park, CA. Individual provider (NPI-1).
NPI number1104648971
StatusActive
Last updated in NPPESOct 31, 2024
Details
- NPI
- 1104648971
- Entity type
- Individual (NPI-1)
- Name
- Shelby Andrade
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 31, 2024
- Certification date
- Oct 31, 2024
- Last updated
- Oct 31, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
21201 Victory Blvd Ste 205Canoga Park, CA 91303-4056
Phone 888-428-3223
Mailing address
4221 Wilshire Blvd Ste 300aLos Angeles, CA 90010-3537
Phone 888-428-3223 · Fax 323-866-1881
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 1,484 Behavior Technician providers in Canoga Park · All 2,647 providers in Canoga Park
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