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NPI Code Detail

MEDICARE: B. DANIEL SHABANI, INC.

MEDICARE: B. DANIEL SHABANI, INC.
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
1103K00000XBehavior Analyst1010664CA

General Provider Information

NPI Number : 1427347988
Entity Type Code : Organization
Provider Name (Legal Business Name) : B. DANIEL SHABANI, INC.
Provider Business Mailing Address
First Line : 982 ARTESIA BLVD
Second Line :
City : HERMOSA BEACH
State : CA
Zip : 90254-2707
Country : US
Telephone Number : 310-310-2931
Fax Number : 323-747-7023
Provider Business Practice Location Address
First Line : 982 ARTESIA BLVD
Second Line :
City : HERMOSA BEACH
State : CA
Zip : 90254-2707
Country : US
Telephone Number : 310-310-2931
Fax Number : 323-747-7023
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : DR. DANIEL B. SHABANI
Credential : PH.D., BCBA-D
Telephone Number : 310-310-2931
Provider Enumeration Date : 04/05/2011
Last Update Date : 07/10/2023

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