DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MAKAILA SHANNON

MEDICARE: MAKAILA SHANNON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1790503092
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAKAILA SHANNON
Provider Business Mailing Address
First Line : 119 W TORRANCE BLVD
Second Line :
City : REDONDO BEACH
State : CA
Zip : 90277-3600
Country : US
Telephone Number : 310-374-3300
Fax Number : 310-374-3307
Provider Business Practice Location Address
First Line : 3280 MOTOR AVE STE 110
Second Line :
City : LOS ANGELES
State : CA
Zip : 90034-3766
Country : US
Telephone Number : 424-672-6700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2024
Last Update Date : 10/13/2025

Similar Medicare Providers

1871435032 — ELLA HAREL
Practice Location Address:
3280 MOTOR AVE STE 110
LOS ANGELES, CA
90034-3766
Practice Phone: 424-672-6700
Practice Fax:
1376003822 — TORI PHAM
Practice Location Address:
3280 MOTOR AVE STE 110
LOS ANGELES, CA
90034-3766
Practice Phone: 424-672-6700
Practice Fax:
1366052748 — JASMINE FAHIMA TAHMOOR
Practice Location Address:
3280 MOTOR AVE STE 110
LOS ANGELES, CA
90034-3766
Practice Phone: 424-672-6700
Practice Fax: 424-672-6819
1073279634 — AUTUMN MINOR
Practice Location Address:
3280 MOTOR AVE STE 110
LOS ANGELES, CA
90034-3766
Practice Phone: 424-672-6700
Practice Fax: 424-672-6819
1518700970 — CLAIRE ELIZABETH NIEHAUS
Practice Location Address:
3280 MOTOR AVE STE 110
LOS ANGELES, CA
90034-3766
Practice Phone: 424-672-6716
Practice Fax:
1902600893 — TREVOR JASEN
Practice Location Address:
3280 MOTOR AVE STE 110
LOS ANGELES, CA
90034-3766
Practice Phone: 424-672-6700
Practice Fax:

Directions to “ MAKAILA SHANNON ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.