Individual provider Active NPI

Jade Simone Taliulu, AA, RBT

  • Behavior Analyst
  • Temecula, CA
National Provider Identifier
1689231359
Registry record updated May 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
106S00000X Issued in CA
Practice address
26720 Ynez CT
Temecula, CA 92591-4659
Phone
(951) 813-4034
NPI assigned
May 28, 2019
Last updated
May 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2019

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 106S00000X CA Primary

Addresses

Primary practice location

26720 Ynez CT
Temecula, CA 92591-4659

Mailing address

1501 E Grand Ave Apt 2326
Escondido, CA 92027-7207
Phone (661) 972-8054

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
Associate of Arts

State licenses

LicenseStateTypeSpecialty
106S00000XCAMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1689231359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 E GRAND AVE APT 2326",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920277207",
            "telephone_number": "661-972-8054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26720 YNEZ CT",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925914659",
            "telephone_number": "951-813-4034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALIULU",
        "first_name": "JADE",
        "middle_name": "SIMONE",
        "credential": "AA, RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-28",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "106S00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2019; 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.