JIA SAN (NPI# 1124520499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124520499 |
| Entity Type | Individual |
| Full Name | JIA SAN |
| Practice Address |
1155 Kelly Johnson Blvd Ste 150 Colorado Springs CO 80920 |
| Mailing Address |
5135 Bluestem Dr Colorado Springs CO 80917-1309 |
| Practice Telephone | 7193542582 |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2019-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-18-33477 | CO | Behavioral Health & Social Service Providers |
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1330 Quail Lake Loop Ste 120, Colorado Springs, CO 809064651 | 6199777201 |
| Street Address |
1155 KELLY JOHNSON BLVD STE 150 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164878286 | Olivia Shae Ballage | Behavioral Analyst | 1155 Kelly Johnson Blvd Ste 150, Colorado Springs, CO 80920-3931 | 2016-05-07 |
| 1497245872 | Kylee Sakaguchi | Behavior Technician | 1155 Kelly Johnson Blvd Ste 150, Colorado Springs, CO 80920 | 2018-05-11 |
| 1780186502 | Paola Vega-reynolds | Behavioral Analyst | 1155 Kelly Johnson Blvd Ste 150, Colorado Springs, CO 80920-3931 | 2018-03-07 |
| 1851823546 | Brianna Cotte | Behavior Technician | 1155 Kelly Johnson Blvd Ste 150, Colorado Springs, CO 80920-3931 | 2017-03-31 |
| 1376088393 | Nicholas Broeker | Behavior Technician | 1155 Kelly Johnson Blvd Ste 150, Colorado Springs, CO 80920-3931 | 2016-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463409 | Cynthia Cruz | Marriage & Family Therapist | 7710 N. Union, Ste 100b and 100c, Colorado Springs, CO 80920 | 2020-09-24 |
| 1851905178 | Emergency Medical Specialists, PC | Emergency Medicine | Woodmen Fsed - Md, 3790 E. Woodmen Road, Colorado Springs, CO 80920 | 2020-09-03 |
| 1114531431 | Emergency Medical Specialists, PC | Emergency Medicine | Memorial Hospital North - Md, 4050 Briargate Pkway, Colorado Springs, CO 80920 | 2020-09-03 |
| 1205440583 | Emergency Medical Specialists, PC | Emergency Medicine | Memorial Hospital North - App, 4050 Briargate Pkway, Colorado Springs, CO 80920 | 2020-09-03 |
| 1700490455 | Poudre Valley Medical Group, LLC | Radiology | 4080 Briargate Parkway, Colorado Springs, CO 80920 | 2020-09-01 |
| 1962015792 | Emergency Medical Specialists, PC | Emergency Medicine | Woodmen Fsed - App, 3790 E. Woodmen Road, Colorado Springs, CO 80920 | 2020-08-31 |
| 1194296491 | Kramer Dentistry Inc | Clinic/Center | 9290 Highland Ridge Heights Suite # 120, Colorado Springs, CO 80920 | 2018-12-12 |
| 1134602279 | Juliana Plucinik | Assistant Behavior Analyst | 7011 Campus Drive Suite 205, Colorado Springs, CO 80920 | 2018-09-14 |
| 1811473861 | Vsb Colorado Providers Pllc | Dentist | 1750 Telstar Drive, Suite 200, Colorado Springs, CO 80920 | 2018-07-12 |
| 1336637438 | Children's Hospital Colorado | General Acute Care Hospital | 4090 Briargate Parkway, Colorado Springs, CO 80920 | 2018-04-25 |
| Find all providers in zip 80920 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| 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. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
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| 1669084133 | Tclllc | Behavioral Analyst | 2822 W Cucharras Street, Colorado Springs, CO 80904 | 2020-08-17 |
| 1568070597 | Colo Springs Aba LLC | Behavioral Analyst | 5412 Butterfield Dr, Colorado Springs, CO 80923-8719 | 2020-07-15 |
| 1598383069 | Three Fleur De Lis Inc | Behavioral Analyst | 5535 Thurber Dr, Colorado Springs, CO 80924-2079 | 2020-07-10 |
| 1871119420 | Rehab for All | Behavioral Analyst | 2005 Aeroplaza Dr, Colorado Springs, CO 80916-4207 | 2020-06-19 |
| 1770116949 | Hopebridge LLC | Behavioral Analyst | 945 N Academy Blvd, Colorado Springs, CO 80909-8310 | 2020-02-17 |
| 1609411958 | Colorado Springs Behavioral Services | Behavioral Analyst | 4330 Kincaid Ct, Colorado Springs, CO 80906-4366 | 2019-11-11 |
| 1790332302 | Rebekah Susan Andriano | Behavioral Analyst | 12665 Falcon Dr, Colorado Springs, CO 80908-3219 | 2019-08-20 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80920 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.