Active NPI
Jessica Saleekongprayoon, MA., BCBA
- Behavior Analyst
- Santa Clarita, CA
National Provider Identifier
1013787613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-23-70086
- Practice address
- 28245 Avenue Crocker Ste 220
Santa Clarita, CA 91355-1201 - Phone
- (661) 254-7086
- NPI assigned
- Jan 4, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-23-70086 | CA | Primary |
Addresses
Primary practice location
28245 Avenue Crocker Ste 220
Santa Clarita, CA 91355-1201
Mailing address
22914 Banyan PL Unit 201
Santa Clarita, CA 91390-4048
Phone (661) 670-7523
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Star of California | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704326400000",
"number": "1013787613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22914 BANYAN PL UNIT 201",
"city": "SANTA CLARITA",
"state": "CA",
"postal_code": "913904048",
"telephone_number": "661-670-7523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28245 AVENUE CROCKER STE 220",
"city": "SANTA CLARITA",
"state": "CA",
"postal_code": "913551201",
"telephone_number": "661-254-7086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALEEKONGPRAYOON",
"first_name": "JESSICA",
"credential": "MA., BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-04",
"last_updated": "2024-01-04",
"certification_date": "2024-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-23-70086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Clarita, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.