Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Merlissa Ann A Agustin

Individual provider Behavior Analyst · NPI 1730681016

Merlissa Ann A Agustin is a Behavior Analyst in San Jose, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018
Specialties on file
4

Practice location Address checks out

3610 Snell Ave
San Jose, CA 95136-1305
Phone: (408) 281-6950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X (CA)
Behavior Analyst Taxonomy 103K00000X · Licence BACB540686 (CA)
Behavior Analyst Taxonomy 103K00000X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1730681016
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 2, 2018
Last updated in NPPESMay 19, 2025
Certification dateMay 19, 2025

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