Isabella Olivia Nedjar

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

915 E Katella Ave Apt 3011
Anaheim, CA 92805-8623

Phone

(619) 396-3233

NPI assigned

Sep 12, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1265153837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 E KATELLA AVE APT 3011",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928058623",
            "telephone_number": "619-396-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 E KATELLA AVE APT 3011",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928058623",
            "telephone_number": "619-396-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEDJAR",
        "first_name": "ISABELLA",
        "middle_name": "OLIVIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FC0800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Contact Lens",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "93688275F21181",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "endpointDescription": "N/A",
            "address_1": "915 E Katella Ave Apt 3011",
            "city": "Anaheim",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928058623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Deborah Neal
• James Neal
• Mohammad Reza Neal, M.D.
• Janine Neale, LCSW
• Tigest Nealy
• Neeta Somani DDS Inc
• Daniela Negru, DO
• Ahmad Toufic Nehmeh, D.C
• Aimee Lee Nelson
• Douglas B. Nelson, MD

• Behavior Analyst in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.