IndividualActive
Tiffany Widjaja
NPI 1144002783 · Behavior Technician · Riverside, CA
Tiffany Widjaja is a Behavior Technician provider in Riverside, CA (NPI 1144002783).
Provider details
- NPI number
- 1144002783
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(51/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11801 Pierce St Ste 200
Riverside, CA 92505-4400
Phone: (949) 281-8725
Street-level locationGet directions
Mailing address
26890 Sugarite Canyon Dr
Moreno Valley, CA 92555-9102
Registry dates
- Enumerated
- 2023-10-18
- Last updated
- 2023-10-18
- Certified
- 2023-10-18
Frequently asked questions
- What is Tiffany Widjaja's NPI number?
- Tiffany Widjaja's National Provider Identifier (NPI) is 1144002783, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tiffany Widjaja's specialty?
- Tiffany Widjaja is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Tiffany Widjaja located?
- Tiffany Widjaja's practice location on file with NPPES is 11801 Pierce St Ste 200, Riverside, CA 92505-4400.
- What is Tiffany Widjaja's phone number?
- The practice phone number listed in the NPPES registry for Tiffany Widjaja is (949) 281-8725.
- Is Tiffany Widjaja's NPI active?
- Yes — Tiffany Widjaja's NPI (1144002783) is active in the NPPES registry as of the last update on 2023-10-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.