MERLISSA ANN A AGUSTIN
NPI 1730681016
Behavior Analyst in San Jose, CA

Q: What is Merlissa Ann Agustin's NPI number?

The NPI number for Merlissa Ann Agustin is 1730681016. It was assigned to this individual provider in the NPPES registry on March 2, 2018.

Q: What is Merlissa Ann Agustin's specialty?

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

Active since March 02, 2018

3610 SNELL AVE, SAN JOSE, CA 95136(408) 281-6950 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 19, 2025, Sep 23, 2021, Mar 2, 2018 (3 updates tracked since 2018).

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About Merlissa Ann A Agustin NPPES

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

MERLISSA ANN A AGUSTIN (NPI 1730681016) is an individual behavior analyst provider in San Jose, California, licensed in California (BACB540686) and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1730681016

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameMERLISSA ANN A AGUSTIN

Location Address3610 SNELL AVESan Jose, CA 95136-1305

Mailing Address1025 Atlantic Ave Ste 101Alameda, CA 94501-1188 · (510) 268-8120

Phone(408) 281-6950

Sole ProprietorNo

Enumeration DateMarch 2, 2018

Last NPPES UpdateMay 19, 20253 updates tracked since enumeration

NPPES CertifiedMay 19, 2025

✔ NPI 1730681016 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 · BACB540686

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

3610 SNELL AVE, San Jose, CA 95136

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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.

STEPHANIE JIMENEZ

Behavior Technician