JACOB HAILESELASSIE
NPI 1326911173
Behavior Technician in Laguna Beach, CA

Active since September 27, 2025
1968 S COAST HWY # 2862, LAGUNA BEACH, CA 92651(909) 663-7422 Get Directions Write a Review

NPPES record last updated: September 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Haileselassie NPPES

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

JACOB HAILESELASSIE (NPI 1326911173) is an individual behavior technician in Laguna Beach, California and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1326911173
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameJACOB HAILESELASSIE
Location Address1968 S COAST HWY # 2862Laguna Beach, CA 92651-3681
Mailing Address1426 S Kenmore StAnaheim, CA 92804-5127
Sole ProprietorNo
Enumeration DateSeptember 27, 2025
NPPES CertifiedSeptember 27, 2025
NPI 1326911173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
1968 S COAST HWY # 2862, Laguna Beach, CA 92651

Other Providers at the Same Location NPPES 20

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

Behavior Technician
1968 S COAST HWY # 2862
LAGUNA BEACH, CA 92651
Behavior Technician
1968 S COAST HWY # 2862
LAGUNA BEACH, CA 92651
Behavior Technician
1968 S COAST HWY # 2862
LAGUNA BEACH, CA 92651
Behavior Technician
1968 S COAST HWY # 2862
LAGUNA BEACH, CA 92651
Behavior Technician
1968 S COAST HWY # 2862
LAGUNA BEACH, CA 92651
Behavior Technician
1968 S COAST HWY # 2862
LAGUNA BEACH, CA 92651
Behavior Technician
1968 S COAST HWY # 2862
LAGUNA BEACH, CA 92651
Social Worker
1968 S COAST HWY # 2862
LAGUNA BEACH, CA 92651

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Haileselassie's NPI number?

The NPI number for Jacob Haileselassie is 1326911173. It was assigned to this individual provider in the NPPES registry on September 27, 2025.

Where is Jacob Haileselassie located?

Jacob Haileselassie practices at 1968 S Coast Hwy # 2862, Laguna Beach, CA 92651. The listed phone number is (909) 663-7422.

What is Jacob Haileselassie's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Jacob Haileselassie was last updated on September 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.