Jessie Hagiwara, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-18-66221

Practice address

7860 Mission Center CT Ste 100
San Diego, CA 92108-1330

Phone

(619) 272-0090

NPI assigned

Sep 27, 2018

Last updated

Sep 27, 2018By the provider in NPPES

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

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.

• ABA Education Foundation

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1720480320
  NPD (past)

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1841775541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5694 MISSION CENTER RD STE 602",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7860 MISSION CENTER CT STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081330",
            "telephone_number": "619-272-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGIWARA",
        "first_name": "JESSIE",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-27",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "RBT-18-66221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kamyar Haghani, MD
• Parvis Haghighi, M.D.
• Sharifa Hagiismail
• Elizabeth Wong Hagio, OTR
• Steve Hagivretas
• Theodore Donn Hagmann, MD
• Gary Alan Hagney, RPH
• Isaiah Scott Hagood
• James S Hagood, MD
• Lauren Hagstrom

• Behavior Technician in San Diego, CA
• Providers in San Diego, 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 27, 2018; 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.