Christian Jaaziel Jimenez, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-22-58253 Issued in CA

Practice address

2807 Elm Ave
Manhattan Beach, CA 90266-2427

Phone

(310) 310-2931

NPI assigned

Apr 14, 2022

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• B. Daniel Shabani, Inc.

  • Behavior Analyst
  • Hermosa Beach, CA
  • NPI 1427347988
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1124761523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3845 MOTOR AVE APT 5",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902323129",
            "telephone_number": "310-869-3158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2807 ELM AVE",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662427",
            "telephone_number": "310-310-2931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "CHRISTIAN",
        "middle_name": "JAAZIEL",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-14",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-22-58253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janm Medical
• Elisabeth Jannicky, M.D.
• Andrew Jasko
• Jax Orthopedics, Inc.
• Elizabeth Jemielita, LMFT
• Joanna M. Wong, M.D. a Medical Corp.
• Joel D. Gould, D.D.S.
• Joel Gould DDS Inc
• John J.R., M.D., a Medical Corporation
• Christine Johnson, AMFT

• Behavior Analyst in Manhattan Beach, CA
• Providers in Manhattan Beach, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.