Active NPI
Jessica Harris
- Behavior Analyst
- Santa Clara, CA
National Provider Identifier
1023598497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 1171 Homestead Rd Ste 250
Santa Clara, CA 95050 - Phone
- (408) 320-2590
- NPI assigned
- Aug 15, 2018
- Last updated
- Aug 20, 2018
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
1171 Homestead Rd Ste 250
Santa Clara, CA 95050
Mailing address
4100 The Woods Dr Apt 406
San Jose, CA 95136-4925
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| U27615378 | Other | CA | CIGNA |
| U2761537803 | Other | CA | CIGNA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534723200000",
"number": "1023598497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 THE WOODS DR APT 406",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951364925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1171 HOMESTEAD RD STE 250",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "95050",
"telephone_number": "408-320-2590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-15",
"last_updated": "2018-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "U27615378",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "U2761537803",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Clara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.