Active NPI
Jennifer Symon, PHD, BCBA-D
- Behavior Analyst
- Irvine, CA
National Provider Identifier
1346619830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 18008 Sky Park Cir Ste 110
Irvine, CA 92614-6434 - Phone
- (949) 474-1493
- NPI assigned
- Sep 15, 2015
- Last updated
- Dec 3, 2020
- Sex
- Female
- Sole proprietor
- No
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 | NU | Primary |
Addresses
Primary practice location
18008 Sky Park Cir Ste 110
Irvine, CA 92614-6434
Mailing address
18008 Sky Park Cir
Irvine, CA 92614-6433
Phone (949) 474-1493
Other practice location 1
5949 Lankershim Blvd
North Hollywood, CA 91601-1006
Phone (323) 850-7177
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-04-1579 | Other | BOARD CERTIFIED BEHAVIOR ANALYST |
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 |
|---|---|---|---|
| New Horizons for Children, LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Center for Autism and Related Services (C.A.R.S.)
- Behavior Analyst
- North Hollywood, CA
- NPI 1326468844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606953600000",
"number": "1346619830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18008 SKY PARK CIR",
"city": "IRVINE",
"state": "CA",
"postal_code": "926146433",
"telephone_number": "949-474-1493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18008 SKY PARK CIR STE 110",
"city": "IRVINE",
"state": "CA",
"postal_code": "926146434",
"telephone_number": "949-474-1493"
}
],
"practiceLocations": [
{
"address_1": "5949 Lankershim Blvd",
"address_purpose": "LOCATION",
"city": "North Hollywood",
"state": "CA",
"postal_code": "916011006",
"country_code": "US",
"telephone_number": "323-850-7177",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SYMON",
"first_name": "JENNIFER",
"credential": "PHD, BCBA-D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-15",
"last_updated": "2020-12-03",
"certification_date": "2020-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD CERTIFIED BEHAVIOR ANALYST",
"identifier": "1-04-1579",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.