Provider Demographics
NPI:1720333016
Name:HOUNSHELL, LYNDA (MS ED, BCBA)
Entity Type:Individual
Prefix:
First Name:LYNDA
Middle Name:
Last Name:HOUNSHELL
Suffix:
Gender:F
Credentials:MS ED, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2821 CROW CANYON RD STE 101
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-1659
Mailing Address - Country:US
Mailing Address - Phone:510-999-4410
Mailing Address - Fax:877-565-6451
Practice Address - Street 1:2821 CROW CANYON RD STE 101
Practice Address - Street 2:
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-1659
Practice Address - Country:US
Practice Address - Phone:510-999-4410
Practice Address - Fax:877-565-6451
Is Sole Proprietor?:No
Enumeration Date:2012-07-23
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106E00000X, 106S00000X
CA1-11-9341103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPB1595OtherREGIONAL CENTER OF THE EAST BAY - ABA
CAPB1739OtherREGIONAL CENTER OF THE EAST BAY - CONSULT
CA1016967OtherANTHEM
CA1554330OtherBEACON HEALTH STRATEGIES
CAGRP1005OtherOPTUM HEALTH (USBHPC)
CA600884273OtherMAGELLAN HEALTH SERVICES
CA0001244608OtherMHN (A HEALTH NET COMPANY)
CA000613933OtherUNITED BEHAVIORAL HEALTH - TRICARE PROGRAM
CA766230OtherVALUE OPTIONS