JORDAN MULIAMAN (NPI# 1447740626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447740626 |
| Entity Type | Individual |
| Full Name | JORDAN MULIAMAN |
| Practice Address |
15373 Innovation Dr Ste 200 San Diego CA 92128-3425 |
| Mailing Address |
15373 Innovation Dr San Diego CA 92128-3415 |
| Practice Telephone | 8586997579 |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2018-05-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
15373 INNOVATION DR STE 200 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92128-3425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528476199 | Cleo Schmitt | Behavioral Analyst | 15373 Innovation Dr Ste 200, San Diego, CA 92128-3425 | 2014-07-28 |
| 1689156432 | Justin Stewart | Behavioral Analyst | 15373 Innovation Dr Ste 200, San Diego, CA 92128-3425 | 2018-08-29 |
| 1457832396 | Giovanna Andrade | Behavioral Analyst | 15373 Innovation Dr Ste 200, San Diego, CA 92128-3425 | 2018-08-28 |
| 1033609201 | Stephanie Lugo | Behavioral Analyst | 15373 Innovation Dr Ste 200, San Diego, CA 92128-3425 | 2018-05-14 |
| 1588172779 | Lynn Yuan | Behavioral Analyst | 15373 Innovation Dr Ste 200, San Diego, CA 92128-3425 | 2018-01-22 |
| 1982118238 | Crystal Medrano Avila | Behavior Technician | 15373 Innovation Dr Ste 200, San Diego, CA 92128-3425 | 2017-11-23 |
| 1104339936 | Alejandra Danielle Cerritos | Behavior Technician | 15373 Innovation Dr Ste 200, San Diego, CA 92128-3425 | 2017-11-15 |
| 1558874412 | Karmelle Sesley | Behavioral Analyst | 15373 Innovation Dr Ste 200, San Diego, CA 92128-3425 | 2017-11-13 |
| 1770094807 | Jessica Rubi Mendoza-regalado | Assistant Behavior Analyst | 15373 Innovation Dr Ste 200, San Diego, CA 92128-3425 | 2017-10-16 |
| 1225587520 | Tania Melissa Lopez | Behavioral Analyst | 15373 Innovation Dr Ste 200, San Diego, CA 92128-3425 | 2016-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585371 | Alicia Ford | Behavior Technician | 1170 Bernardo Plaza Court, Suite 350, San Diego, CA 92128 | 2020-07-08 |
| 1164087573 | Madeleine White | Dietitian, Registered | 16685 W Bernardo Dr, Suite 121, San Diego, CA 92128 | 2019-05-01 |
| 1053807677 | Joele Ghosn | Speech-Language Pathologist | 11838 Bernardo Plaza Ct #110, San Diego, CA 92128 | 2018-07-06 |
| 1376034348 | Eddie Reginald Burston II | In Home Supportive Care | 12727 Camino Emparrado, San Diego, CA 92128 | 2018-05-24 |
| 1336659218 | Ryan Fong | Physician Assistant | 15004 Innovation Drive (s97), San Diego, CA 92128 | 2017-10-05 |
| 1508316191 | Araceli Flores | Behavioral Analyst | 15737 Innovation Dr, Suite 200, San Diego, CA 92128 | 2016-10-07 |
| 1003283961 | Katherine Dishner | Hearing Instrument Specialist | 16766 Bernardo Center Dr Ste 206, San Diego, CA 92128 | 2015-08-27 |
| 1205212586 | Mobilia Dmd Inc. | Point of Service | 12405 Rancho Bernardo Rd., San Diego, CA 92128 | 2015-08-10 |
| 1346623634 | Angela Christine Storck-petersen | Dietitian, Registered | 11768 Caminito Corriente, San Diego, CA 92128 | 2015-07-04 |
| 1134526874 | Breeana Rose Lancaster | Speech-Language Pathologist | 11838 Bernardo Plaza Ct. Suite 110, Kids Therapy Associates, San Diego, CA 92128 | 2014-11-24 |
| Find all providers in zip 92128 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766698 | Daniela Tablas | Behavioral Analyst | 303 47th St Spc D-22, San Diego, CA 92102 | 2020-09-30 |
| 1124637384 | Best Life Aba | Behavioral Analyst | 5227 Lenore Dr, San Diego, CA 92115-1639 | 2020-07-23 |
| 1992313423 | Vailala Felicia Gregory | Behavioral Analyst | 2721 Ridge View Dr, San Diego, CA 92105-4857 | 2020-07-21 |
| 1295359768 | Jake Wylie | Behavioral Analyst | 2848 Ash St, San Diego, CA 92102-1753 | 2020-06-01 |
| 1881215739 | Arasila | Behavioral Analyst | 4653 Carmel Mountain Rd Ste 308-252, San Diego, CA 92130-6650 | 2020-05-01 |
| 1255978623 | Playba | Behavioral Analyst | 4504 60th St Unit 6, San Diego, CA 92115-5470 | 2019-12-04 |
| 1689217374 | Elizabeth Gallagher | Behavioral Analyst | 1721 Grand Ave, San Diego, CA 92109-4415 | 2019-10-24 |
| 1679122568 | Carolyn Newtson | Behavioral Analyst | 9620 Chesapeake Dr Ste 205, San Diego, CA 92123-1324 | 2019-09-04 |
| 1518519933 | Communication Lab LLC | Behavioral Analyst | 4566 Pescadero Ave, San Diego, CA 92107-3537 | 2019-07-15 |
| 1538722889 | Seeds Therapy Center | Behavioral Analyst | 2707 Congress St Ste 1r, San Diego, CA 92110-2764 | 2019-04-22 |
| Find all providers in SAN DIEGO | ||||
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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.