IndividualActive
Tariq Jefferson
NPI 1306552377 · Behavior Technician · San Diego, CA
Tariq Jefferson is a Behavior Technician provider in San Diego, CA (NPI 1306552377).
Provider details
- NPI number
- 1306552377
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(52/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
4455 Murphy Canyon Rd Ste 100
San Diego, CA 92123-4379
Phone: (619) 877-1805
Street-level locationGet directions
Mailing address
4880 Market St
Ventura, CA 93003-7783
Registry dates
- Enumerated
- 2023-01-24
- Last updated
- 2023-01-24
- Certified
- 2023-01-24
Frequently asked questions
- What is Tariq Jefferson's NPI number?
- Tariq Jefferson's National Provider Identifier (NPI) is 1306552377, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tariq Jefferson's specialty?
- Tariq Jefferson is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Tariq Jefferson located?
- Tariq Jefferson's practice location on file with NPPES is 4455 Murphy Canyon Rd Ste 100, San Diego, CA 92123-4379.
- What is Tariq Jefferson's phone number?
- The practice phone number listed in the NPPES registry for Tariq Jefferson is (619) 877-1805.
- Is Tariq Jefferson's NPI active?
- Yes — Tariq Jefferson's NPI (1306552377) is active in the NPPES registry as of the last update on 2023-01-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.