Jade Behavioral Consultants

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1-14-10254 Issued in CA

Legal business name

JADE BEHAVIORAL CONSULTANTS

Practice address

2115 W Crescent Ave Ste 244
Anaheim, CA 92801-3836

Phone

(818) 577-8743

NPI assigned

Sep 6, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Marlon A. Tilmon, M.A., BCBA

Title

Ceo

Phone

(818) 577-8743

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473120000000",
    "number": "1982151064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 W CRESCENT AVE STE 244",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928013836",
            "telephone_number": "818-577-8743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 W CRESCENT AVE STE 244",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928013836",
            "telephone_number": "818-577-8743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JADE BEHAVIORAL CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-06",
        "last_updated": "2016-09-06",
        "status": "A",
        "authorized_official_last_name": "TILMON",
        "authorized_official_first_name": "MARLON",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-577-8743",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A., BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "1-14-10254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celeste Jacobsen, AC
• Frederick Chester Jacobson, M.D.
• Janira Jacoubs-Beye, PSY.D.
• Ilah Jacquemot
• Melissa Jacques
• Jade Enhanced Support Services
• Jade Hospice Inc.
• Jade Specialty Home Health Care
• Vishal Jadhav
• Jafari Doan Dental Partership

• Community/Behavioral Health Agency in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; 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.