SHELBY ANNALISA BROADNAX
NPI 1922613660
Behavior Analyst in Antioch, CA

Q: What is Shelby Broadnax's NPI number?

The NPI number for Shelby Broadnax is 1922613660. It was assigned to this individual provider in the NPPES registry on September 10, 2020.

Q: What is Shelby Broadnax's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shelby Broadnax was last updated on September 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since September 10, 2020

1029 DONCASTER DR, ANTIOCH, CA 94509(925) 864-6583 Get Directions Write a Review

NPPES record last updated: September 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Shelby Annalisa Broadnax NPPES

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

SHELBY ANNALISA BROADNAX (NPI 1922613660) is an individual behavior analyst provider in Antioch, California and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1922613660

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameSHELBY ANNALISA BROADNAX

Location Address1029 DONCASTER DRAntioch, CA 94509-4713

Mailing Address400 29th St Ste 204Oakland, CA 94609-3547

Phone(925) 864-6583

Sole ProprietorYes

Enumeration DateSeptember 10, 2020

NPPES CertifiedSeptember 9, 2020

✔ NPI 1922613660 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.

1029 DONCASTER DR, Antioch, CA 94509

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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 Shelby Broadnax's NPI number?

The NPI number for Shelby Broadnax is 1922613660. It was assigned to this individual provider in the NPPES registry on September 10, 2020.

Where is Shelby Broadnax located?

Shelby Broadnax practices at 1029 Doncaster Dr, Antioch, CA 94509. The listed phone number is (925) 864-6583.

What is Shelby Broadnax'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 Shelby Broadnax was last updated on September 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.