Active NPI
Maya Jimenez, PH.D.
- Behavior Analyst
- Santa Barbara, CA
National Provider Identifier
1285981472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BCBA-D (1-08-4394)
- Practice address
- 2922 De la Vina St
Ste C
Santa Barbara, CA 93105-3372 - Phone
- (213) 503-0988
- Fax
- (866) 246-1018
- NPI assigned
- Aug 7, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | BCBA-D (1-08-4394) | CA | Primary |
Addresses
Primary practice location
2922 De la Vina St
Ste C
Santa Barbara, CA 93105-3372
Mailing address
2922 De la Vina St
Ste C
Santa Barbara, CA 93105-3372
Phone (213) 503-0988
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BCBA-D | Other | CA | BOARD CERTIFIED BEHAVIORAL ANALYSIS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Autism Related Education | Behavior Analyst | Past | Accepting new patients |
| Vista Psychological Center Inc | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Behavior Analyst
- Sherman Oaks, CA
- NPI 1508178286
-
- Community/Behavioral Health Agency
- Newhall, CA
- NPI 1619235710
Behavior Analyst
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344297600000",
"number": "1285981472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2922 DE LA VINA ST",
"address_2": "STE C",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931053372",
"telephone_number": "213-503-0988",
"fax_number": "866-246-1018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2922 DE LA VINA ST",
"address_2": "STE C",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931053372",
"telephone_number": "213-503-0988",
"fax_number": "866-246-1018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIMENEZ",
"first_name": "MAYA",
"name_prefix": "Mrs.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-07",
"last_updated": "2012-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "BCBA-D (1-08-4394)",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD CERTIFIED BEHAVIORAL ANALYSIS",
"identifier": "BCBA-D",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Barbara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.