MRS. ANGELINA JEANAIT WATERMAN M.A., BCBA
NPI 1568838357
Behavior Analyst in San Diego, CA

Q: What is Angelina Waterman's NPI number?

The NPI number for Angelina Waterman is 1568838357. It was assigned to this individual provider in the NPPES registry on August 14, 2015.

Q: What is Angelina Waterman'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 Angelina Waterman was last updated on November 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since August 14, 2015

3550 CAMINO DEL RIO N STE 104, SAN DIEGO, CA 92108(760) 815-6779 Get Directions Write a Review

NPPES record last updated: November 2, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 2, 2021, Oct 2, 2018 (2 updates tracked since 2018).

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About Mrs. Angelina Jeanait Waterman M.a., Bcba NPPES

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

MRS. ANGELINA JEANAIT WATERMAN M.A., BCBA (NPI 1568838357) is an individual behavior analyst provider in San Diego, California, licensed in California (1-18-31561) and active in the NPI registry since August 2015. She maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1568838357

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameMRS. ANGELINA JEANAIT WATERMANCredential: M.A., BCBA

Location Address3550 CAMINO DEL RIO N STE 104San Diego, CA 92108

Mailing Address3550 Camino Del Rio North, Suite 104San Diego, CA 92108 · (347) 665-8299

Phone(760) 815-6779

Sole ProprietorYes

Enumeration DateAugust 14, 2015

Last NPPES UpdateNovember 2, 20212 updates tracked since enumeration

NPPES CertifiedNovember 2, 2021

✔ NPI 1568838357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in CA · 1-18-31561

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.

3550 CAMINO DEL RIO N STE 104, San Diego, CA 92108

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Secondary Practice Location 1

Location 115373 Innovation Dr, 200San Diego, CA 92128-3415 · Phone (858) 699-7579 · Fax (858) 729-6021

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.

YESENIA CISNEROS

Behavior Technician