Active NPI
Jason Julia, M.A., M.S.,BCBA, LBA
- Behavior Analyst
- Honolulu, HI
National Provider Identifier
1396255246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BA556
- Practice address
- 200 N Vineyard Blvd
Honolulu, HI 96817-3950 - Phone
- (860) 302-3697
- NPI assigned
- Oct 5, 2017
- Sex
- Male
- 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 | BA556 | HI | Primary |
Addresses
Primary practice location
200 N Vineyard Blvd
Honolulu, HI 96817-3950
Mailing address
200 N Vineyard Blvd Apt A325
Honolulu, HI 96817-3950
Phone (860) 302-3697
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002206 | Medicaid | HI |
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
- Master of Arts, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BA556 | HI | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721174400000",
"number": "1396255246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 N VINEYARD BLVD APT A325",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968173950",
"telephone_number": "860-302-3697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N VINEYARD BLVD",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968173950",
"telephone_number": "860-302-3697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JULIA",
"first_name": "JASON",
"credential": "M.A., M.S.,BCBA, LBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-10-05",
"last_updated": "2024-07-17",
"certification_date": "2023-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "HI",
"license": "BA556",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002206",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.