Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shaitaya Denae Mixon

Individual provider Behavior Analyst · NPI 1861955098

Shaitaya Denae Mixon is a Behavior Analyst in Stockton, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019
Specialties on file
4
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Practice location Address checks out

1811 Grand Canal Blvd Ste 2
Stockton, CA 95207-8107
Phone: (877) 418-2978
Fax: (866) 500-2186
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence Y3416426 (CA)
Behavior Analyst Taxonomy 103K00000X (CA)
Assistant Behavior Analyst Taxonomy 106E00000X (CA)
Behavior Technician Taxonomy 106S00000X (CA)

Record details

NPI number1861955098
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 14, 2019
Last updated in NPPESJuly 12, 2022
Certification dateJuly 12, 2022

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