IVORY Q RANDALL RBT
NPI 1831606805
Behavior Analyst in San Diego, CA

Q: What is Ivory Randall's NPI number?

The NPI number for Ivory Randall is 1831606805. It was assigned to this individual provider in the NPPES registry on December 29, 2017.

Q: What is Ivory Randall'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 Ivory Randall was last updated on October 21, 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 December 29, 2017

3702 RUFFIN RD STE 100, SAN DIEGO, CA 92123(619) 297-4300(619) 297-4400 Get Directions Write a Review

NPPES record last updated: October 21, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 21, 2021, Dec 29, 2017 (2 updates tracked since 2017).

On this page

About Ivory Q Randall Rbt NPPES

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

IVORY Q RANDALL RBT (NPI 1831606805) is an individual behavior analyst provider in San Diego, California and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1831606805

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameIVORY Q RANDALLCredential: RBT

Location Address3702 RUFFIN RD STE 100San Diego, CA 92123-1893

Mailing Address3702 Ruffin Rd Ste 100San Diego, CA 92123-1893 · (619) 297-4300 · Fax (619) 297-4400

Phone(619) 297-4300

Fax(619) 297-4400

Sole ProprietorNo

Enumeration DateDecember 29, 2017

Last NPPES UpdateOctober 21, 20212 updates tracked since enumeration

NPPES CertifiedOctober 21, 2021

✔ NPI 1831606805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

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

3702 RUFFIN RD STE 100, San Diego, CA 92123

Open in Google Maps ↗

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.

ALYSSA NICOLE FLESCHNER

Behavior Technician