Shane Underwood

NPI 1104584093 · on the registry since 2021

Practice

Address: 4322 Wilshire Blvd Ste 104
Los Angeles, CA 90010
Phone: (323) 879-4951
Organisation at this address: Ocean Side Home Health Services Inc
Ocean Side Home Health Services,Inc.
Universal Diagnostic Medical Group, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 75

Registry record

Primary taxonomy: Behavior Analyst
103K00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-12-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California