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

Shane Taylor Underwood

Individual provider Behavior Analyst · NPI 1104584093

Shane Taylor Underwood is a Behavior Analyst in Los Angeles, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021

Practice location Address checks out

4322 Wilshire Blvd Ste 104
Los Angeles, CA 90010-3737
Phone: (323) 879-4951
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X (CA)

Record details

NPI number1104584093
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 7, 2021
Last updated in NPPESDecember 7, 2021
Certification dateDecember 7, 2021
Mailing address21600 Oxnard St Ste 1800, Woodland Hills, CA 91367-7807

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