NISSA-BELLE VIDAL - NPI 1215426960 - Behavior Analyst in Huntington Beach, CA

Q: What is Nissa-belle Vidal's NPI number?

The NPI number for Nissa-belle Vidal is 1215426960. It was assigned to this individual provider in the NPPES registry on May 8, 2018.

Q: What is Nissa-belle Vidal's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Q: When was this NPI record last updated?

The NPPES record for Nissa-belle Vidal was last updated on July 7, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Nissa-belle Vidal NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NISSA-BELLE VIDAL (NPI 1215426960) is an individual behavior analyst provider in Huntington Beach, California, licensed in California (1-19-39870) and active in the NPI registry since May 2018. She maintains a secondary practice location in San Francisco.

NPPES Registry Identity

NPI1215426960

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameNISSA-BELLE VIDAL

Location Address4952 WARNER AVEHuntington Beach, CA 92649-4479

Mailing Address848 Reyana WayPerris, CA 92571-5115 · (951) 970-2651

Phone(714) 587-9007

Sole ProprietorYes

Enumeration DateMay 8, 2018

Last NPPES UpdateJuly 7, 20222 updates tracked since enumeration

NPPES CertifiedJuly 7, 2022

✔ NPI 1215426960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in CA · 1-19-39870

Definition

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Also ListedBehavior TechnicianTaxonomy 106S00000X · License 17-30402 (CA)

4952 WARNER AVE, Huntington Beach, CA 92649

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Secondary Practice Location 1

Location 12529 24th StSan Francisco, CA 94110-3508 · Phone (650) 260-4670 · Fax (415) 520-6530

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WASSEEM A SAMAAN PSYD ( PSY.DOCTOR)

Psychologist (Clinical)

4952 WARNER AVE, #221
HUNTINGTON BEACH, CA 92649

Orange County (951) 218-0096

SANDRA BARRERA

Specialist/Technologist (Speech-Language Assistant)