Individual provider Active NPI

Jason Laolagi

  • Behavior Technician
  • Tustin, CA
National Provider Identifier
1487451407
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
Y5349696 Issued in CA
Practice address
2522 Chambers Rd Ste 219
Tustin, CA 92780-6962
Phone
(714) 552-4725
Fax
(949) 264-9490
NPI assigned
Feb 26, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Y5349696 CA Primary

Addresses

Primary practice location

2522 Chambers Rd Ste 219
Tustin, CA 92780-6962

Mailing address

2522 Chambers Rd Ste 219
Tustin, CA 92780-6962
Phone (714) 552-4725

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

State licenses

LicenseStateTypeSpecialty
Y5349696CAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Blessed Behavior LLC CurrentSince Mar 11, 2025 Accepting new patients

Locations

2522 Chambers Rd
Ste 219
Tustin, CA 92780
Phone (714) 552-4725

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1740528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1487451407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2522 CHAMBERS RD STE 219",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806962",
            "telephone_number": "714-552-4725",
            "fax_number": "949-264-9490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2522 CHAMBERS RD STE 219",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806962",
            "telephone_number": "714-552-4725",
            "fax_number": "949-264-9490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAOLAGI",
        "first_name": "JASON",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-26",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "Y5349696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.