Active NPI
Helga Jasna Haller, DBH, QBA, CDP
- Behavior Analyst
- Camarillo, CA
National Provider Identifier
1942666920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- QBA-11477
- Practice address
- 1052 Skeel Dr
Camarillo, CA 93010-2943 - Phone
- (805) 844-1583
- Fax
- (866) 525-6110
- NPI assigned
- Jan 6, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | QBA-11477 | CA | Primary |
Addresses
Primary practice location
1052 Skeel Dr
Camarillo, CA 93010-2943
Mailing address
79 E Daily Dr # 202
Camarillo, CA 93010-5807
Phone (805) 844-1583
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | drjasnadbh@path4ability.com |
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
| License | State | Type | Specialty |
|---|---|---|---|
| QBA-11477 | CA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719705600000",
"number": "1942666920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79 E DAILY DR # 202",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930105807",
"telephone_number": "805-844-1583",
"fax_number": "866-525-6110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1052 SKEEL DR",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930102943",
"telephone_number": "805-844-1583",
"fax_number": "866-525-6110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLER",
"first_name": "HELGA JASNA",
"name_prefix": "Dr.",
"credential": "DBH, QBA, CDP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-06",
"last_updated": "2024-06-30",
"certification_date": "2024-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "QBA-11477",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "drjasnadbh@path4ability.com",
"affiliation": "N",
"endpointDescription": "business email/HIPAA compliant",
"address_1": "1052 Skeel Dr",
"city": "Camarillo",
"state": "CA",
"country_code": "US",
"postal_code": "930102943",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Camarillo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.