Vidya Jeyendran

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

8605 Santa Monica Blvd # 188287
West Hollywood, CA 90069-4109

Phone

(805) 587-2759

NPI assigned

Sep 2, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jumpstart ABA, LLC

  • Behavior Analyst
  • West Hollywood, CA
  • NPI 1275402711
  NPD

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

{
    "created_epoch": "1725235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725235200000",
    "number": "1437983350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 CASITAS BULEVAR",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8605 SANTA MONICA BLVD # 188287",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900694109",
            "telephone_number": "805-587-2759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEYENDRAN",
        "first_name": "VIDYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-02",
        "last_updated": "2024-09-02",
        "certification_date": "2024-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Jeon
• Katlyn Jerkins
• Jerome L. Lipin, MD, Inc
• Jessica M Rabbany MD Inc (Mindspace MD)
• Jewish Family Service of la
• JFL Medical Inc
• JFS Partners Adult Day Health Care Center
• Janet Yonjung Jha, MD
• Vidhi Jhaveri, MD
• Nan Jiang

• Behavior Technician in West Hollywood, CA
• Providers in West Hollywood, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.

Verify at the official NPI Registry.