Julia Michelle Perez Jensen

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BA-548 Issued in HI

Practice address

100 Kahelu Ave Ste 112
Mililani, HI 96789-3913

Phone

(808) 625-3000

NPI assigned

Aug 27, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Autism & Behavioral Intervention, LLC

  • Behavior Analyst
  • Draper, UT
  • NPI 1144610502
  NPD (past)

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1487202180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95-227 WAIKALANI DR APT A1001",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967893540",
            "telephone_number": "435-773-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KAHELU AVE STE 112",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967893913",
            "telephone_number": "808-625-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12350 S 800 E",
            "address_purpose": "LOCATION",
            "city": "Draper",
            "state": "UT",
            "postal_code": "840209712",
            "country_code": "US",
            "telephone_number": "801-998-8428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ JENSEN",
        "first_name": "JULIA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "HI",
            "license": "BA-548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judynes Paulo
• Savannah Paulo
• Melanie Moanikeala Payanal, M.D.
• Corey A Peacock, OT
• Shannon Peahi-Ching
• Chana Perkin
• Lavon L Petersen, LCSW
• Tiana Peterson
• Nora A Phillips, DNP, APRN
• Jericho Emile Tombo Piansay, PT, DPT

• Behavior Analyst in Mililani, HI
• Providers in Mililani, HI by specialty
• Behavior Analyst in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.