Marina Djordjevic, BT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

400 Concar Dr Ste 4-134
San Mateo, CA 94402-2681

Phone

(650) 931-6300

NPI assigned

Dec 11, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Marina McPherson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Theology

Practice roles

Locations

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.

• Opya, Inc.

  • Behavior Analyst
  • San Mateo, CA
  • NPI 1992165021
  NPD

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1124895099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CONCAR DR STE 4-134",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022681",
            "telephone_number": "650-931-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CONCAR DR STE 4-134",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022681",
            "telephone_number": "650-931-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DJORDJEVIC",
        "first_name": "MARINA",
        "credential": "BT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARINA",
            "last_name": "MCPHERSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christopher Roy Stephen Dirks, LMFT
• Suzanne Marie Dito, LMFT
• Elyse G Dixon
• Mark Dizon, CAMTC 89825
• Mikka Dizon
• Mary Catherine Dobbins, M.D.
• Nicole M Dobel
• Geraldine Doherty
• Doily, LLC
• Claudia Dolin, MFT

• Behavior Technician in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.