Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1144002783 Individual Practitioner Female Practitioner

Tiffany Widjaja

Behavior Technician • Riverside, CA

Professional Overview & Biography Verified Profile Summary

Tiffany Widjaja is a registered healthcare professional specializing in Behavior Technician in Riverside, CA. Practice services are available at 11801 PIERCE ST STE 200 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11801 Pierce St Ste 200

Riverside, CA 925054400

Telephone 9492818725
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Riverside, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 5.0 Yrs
Regional Practice Density
3639 Specialists

Practicing in Riverside, CA (172337 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-10-18
Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Ikeeshya Gibson

Behavior Technician

NPI 1003434929
Gabriela Mariano

Behavior Technician

NPI 1003738352
Lamont Sconiers

Behavior Technician

NPI 1043067457
Britlee Bennett

Behavior Technician

NPI 1114572674
Pamela Vera Miranda

Behavior Technician

NPI 1508724980
Kevin Cordova

Behavior Analyst

NPI 1558191205

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 18, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location October 18, 2023

Registered at 11801 PIERCE ST STE 200, RIVERSIDE, CA 925054400 (Tel: 9492818725)

📍
Updated Business Mailing Address October 18, 2023

Registered at 26890 SUGARITE CANYON DR, MORENO VALLEY, CA 925559102

👤
Provider Name / Credentials Updated October 18, 2023

Recorded as TIFFANY WIDJAJA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 18, 2023

Behavior Technician

🟢
Initial NPI Registration & Enumeration October 18, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1144002783
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 18, 2023
Last Update: October 18, 2023
Sole Proprietor: No

Mailing Address

26890 Sugarite Canyon Dr

Moreno Valley, CA 925559102

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.