Individual provider Active NPI

Yasmina Jabri, BCBA

  • Behavior Analyst
  • San Clemente, CA
National Provider Identifier
1497220040
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-18-32692
Practice address
1319 Calle Avanzado
San Clemente, CA 92673-6351
Phone
(949) 272-6146
Fax
(888) 847-8864
NPI assigned
Oct 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-18-32692 Primary

Addresses

Primary practice location

1319 Calle Avanzado
San Clemente, CA 92673-6351

Mailing address

PO Box 4100
Barboursville, WV 25504-4100
Phone (304) 955-6200

Other practice location 1

2631 State Route 34
Winfield, WV 25213-7797
Phone (681) 235-3114

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

Practice roles

OrganizationSpecialtyStatusNew patients
Evolutions ABA Inc Behavior Analyst CurrentSince Oct 27, 2024 Accepting new patients

Locations

1319 Calle Avanzado
San Clemente, CA 92673
Phone (949) 272-6146

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": "1539129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1497220040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4100",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255044100",
            "telephone_number": "304-955-6200",
            "fax_number": "304-399-2526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 CALLE AVANZADO",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736351",
            "telephone_number": "949-272-6146",
            "fax_number": "888-847-8864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2631 State Route 34",
            "address_purpose": "LOCATION",
            "city": "Winfield",
            "state": "WV",
            "postal_code": "252137797",
            "country_code": "US",
            "telephone_number": "681-235-3114",
            "fax_number": "866-332-2962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JABRI",
        "first_name": "YASMINA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-10",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-18-32692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.