Shadeed Hasan
Shadeed Hasan is a provider specialising in Behavior Analyst in Stockton, CA, registered under NPI 1003130626. This provider registers 4 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
Here is what surrounds this office in Stockton, based on OpenStreetMap data collected Sep 7, 2026. Parking is available about 221 ft away. There is EV charging 0.44 mi from the office (Tesla Supercharger) — useful if you are driving in from out of town. If you arrive early, there is a coffee shop 0.45 mi away.
Getting here and what is nearby
Parking 103 ft ~1 min
Parking 107 ft ~1 min
Parking 221 ft ~1 min
Restaurant GK Mongolian BBQ 0.31 mi ~7 min
Restaurant Bayon Restaurant 0.31 mi ~7 min
2233 Grand Canal Boulevard, Stockton 95207
Restaurant Swagat Indian Cuisine 0.34 mi ~7 min
Coffee Lollicup Tea Zone 0.35 mi ~7 min
2233 Grand Canal Boulevard, Stockton 95207
Grocery New Cambodian Market Asian Grocery 0.37 mi ~8 min
Gas station 7-Eleven 0.38 mi ~8 min
4501 North Pershing Avenue, Stockton
Gas station Arco 0.40 mi ~9 min
Coffee Empresso Coffeehouse 0.42 mi ~9 min
Hotel Hilton 0.43 mi ~9 min
EV charging Tesla Supercharger 0.44 mi ~9 min
Coffee T4 Tea For U 0.45 mi ~9 min
Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 36287 | CA | Counselor |
| LCSW84937 | CA | Clinical Social Worker |
| 1-16-22697 | CA | Behavior Analyst primary |
This provider holds licence 36287 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Clinical Social Worker
- PAC ID
- 2961851878
- Enrollment ID
- I20231218000258
Medicare enrolment is recorded as approved under the provider type Practitioner - Clinical Social Worker. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Behavior Analyst covers
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. NUCC Health Care Provider Taxonomy, code 103K00000X
All registered taxonomy codes
This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 101Y00000X | Counselor | 36287 | CA | |
| 1041C0700X | Clinical Social Worker Clinical | LCSW84937 | CA | |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | — | |
| 103K00000X | Behavior Analyst | 1-16-22697 | CA | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1003130626 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Mar 25, 2010 |
| Last updated | Dec 28, 2021 |
| Status | Active |
| Sole proprietor | No |
| Gender | Male |
| Practice address |
1811 GRAND CANAL BLVD STE 2 Stockton, CA 95207 (877) 418-2978 |
| Mailing address |
500 FAIRWAY DR STE 102 Deerfield Beach, FL 33441 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 1 | 3 | 0 | 6 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 2 | 3 | 0 | 6 | 4 |
Sum = 44 · next multiple of 10 = 50 · check digit = 6 · actual last digit = 6
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.