SHAITAYA DENAE MIXON
NPI 1861955098
Behavior Technician in Stockton, CA

Active since April 14, 2019
1811 GRAND CANAL BLVD STE 2, STOCKTON, CA 95207(877) 418-2978(866) 500-2186 Get Directions Write a Review

NPPES record last updated: July 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 12, 2022, Apr 14, 2019 (2 updates tracked since 2019).

About Shaitaya Denae Mixon NPPES

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

SHAITAYA DENAE MIXON (NPI 1861955098) is an individual behavior technician in Stockton, California, licensed in California (Y3416426) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1861955098
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameSHAITAYA DENAE MIXON
Location Address1811 GRAND CANAL BLVD STE 2Stockton, CA 95207-8107
Mailing Address350 Fairway Dr Ste 101Deerfield Bch, FL 33441-1834 · (877) 418-2978 · Fax (866) 500-2186
Fax(866) 500-2186
Sole ProprietorYes
Enumeration DateApril 14, 2019
Last NPPES UpdateJuly 12, 20222 updates tracked since enumeration
NPPES CertifiedJuly 12, 2022
NPI 1861955098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
License Licensed in CA · Y3416426
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
Also ListedBehavior AnalystTaxonomy 103K00000X
Also ListedAssistant Behavior AnalystTaxonomy 106E00000X
1811 GRAND CANAL BLVD STE 2, Stockton, CA 95207

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.

Behavior Analyst
1811 GRAND CANAL BLVD STE 2
STOCKTON, CA 95207
Behavior Technician
1811 GRAND CANAL BLVD STE 2
STOCKTON, CA 95207
Behavior Technician
1811 GRAND CANAL BLVD STE 2
STOCKTON, CA 95207
Behavior Technician
1811 GRAND CANAL BLVD STE 2
STOCKTON, CA 95207
Behavior Analyst
1811 GRAND CANAL BLVD STE 2
STOCKTON, CA 95207
Behavior Technician
1811 GRAND CANAL BLVD STE 2
STOCKTON, CA 95207
Behavior Technician
1811 GRAND CANAL BLVD STE 2
STOCKTON, CA 95207
Behavior Technician
1811 GRAND CANAL BLVD STE 2
STOCKTON, CA 95207

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 Shaitaya Mixon's NPI number?

The NPI number for Shaitaya Mixon is 1861955098. It was assigned to this individual provider in the NPPES registry on April 14, 2019.

Where is Shaitaya Mixon located?

Shaitaya Mixon practices at 1811 Grand Canal Blvd Ste 2, Stockton, CA 95207. The listed phone number is (877) 418-2978.

What is Shaitaya Mixon's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Shaitaya Mixon was last updated on July 12, 2022. 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.