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SHANE TAYLOR UNDERWOOD
NPI 1104584093
Behavior Analyst in Los Angeles, CA

Active since December 07, 2021
4322 WILSHIRE BLVD STE 104, LOS ANGELES, CA 90010(323) 879-4951 Get Directions Write a Review

NPPES record last updated: December 7, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shane Taylor Underwood NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANE TAYLOR UNDERWOOD (NPI 1104584093) is an individual behavior analyst provider in Los Angeles, California and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1104584093
Entity TypeIndividualMale
Primary Taxonomy103K00000X
Provider Legal NameSHANE TAYLOR UNDERWOOD
Location Address4322 WILSHIRE BLVD STE 104Los Angeles, CA 90010-3737
Mailing Address21600 Oxnard St Ste 1800Woodland Hills, CA 91367-7807 · (818) 345-2345
Phone(323) 879-4951
Sole ProprietorNo
Enumeration DateDecember 7, 2021
NPPES CertifiedDecember 7, 2021
✔ NPI 1104584093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
4322 WILSHIRE BLVD STE 104, Los Angeles, CA 90010
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL DEMETRIE PORTILLO
Behavior Technician
4322 WILSHIRE BLVD STE 104
LOS ANGELES, CA 90010
Los Angeles County (323) 879-4951
LEAH PATRICE YOUNG
Behavior Analyst
4322 WILSHIRE BLVD STE 104
LOS ANGELES, CA 90010
Los Angeles County (323) 879-4951
ANA RUANO
Behavior Analyst
4322 WILSHIRE BLVD STE 104
LOS ANGELES, CA 90010
Los Angeles County (323) 879-4951
KAREN HUOH BCBA
Behavior Analyst
4322 WILSHIRE BLVD STE 104
LOS ANGELES, CA 90010
Los Angeles County (323) 879-4951
ABIGAIL CEDENO
Behavior Technician
4322 WILSHIRE BLVD STE 104
LOS ANGELES, CA 90010
Los Angeles County (323) 879-4951
MUNA AMIR AHMED
Behavior Technician
4322 WILSHIRE BLVD STE 104
LOS ANGELES, CA 90010
Los Angeles County (323) 879-4951
CANDY APRIL MENDOZA
Behavior Technician
4322 WILSHIRE BLVD STE 104
LOS ANGELES, CA 90010
Los Angeles County (323) 879-4951
ANGELOS WILLIAMS
Behavior Technician
4322 WILSHIRE BLVD STE 104
LOS ANGELES, CA 90010
Los Angeles County (323) 879-4951

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shane Underwood's NPI number?

The NPI number for Shane Underwood is 1104584093. It was assigned to this individual provider in the NPPES registry on December 7, 2021.

Where is Shane Underwood located?

Shane Underwood practices at 4322 Wilshire Blvd Ste 104, Los Angeles, CA 90010. The listed phone number is (323) 879-4951.

What is Shane Underwood's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Shane Underwood was last updated on December 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.