Active NPI
Jessica Amezquita
- Behavior Technician
- Rancho Cucamonga, CA
National Provider Identifier
1033791967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 11799 Sebastian Way Ste 103
Rancho Cucamonga, CA 91730-0708 - Phone
- (909) 353-7547
- NPI assigned
- Apr 21, 2021
- Last updated
- Dec 29, 2023
- 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 Technician | 106S00000X | Primary |
Addresses
Primary practice location
11799 Sebastian Way Ste 103
Rancho Cucamonga, CA 91730-0708
Mailing address
23404 Sonnet Dr
Moreno Valley, CA 92557-5405
Phone (909) 368-9274
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavior Genius LLC | Behavior Technician | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703808000000",
"number": "1033791967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23404 SONNET DR",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925575405",
"telephone_number": "909-368-9274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11799 SEBASTIAN WAY STE 103",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917300708",
"telephone_number": "909-353-7547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMEZQUITA",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-21",
"last_updated": "2023-12-29",
"certification_date": "2023-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Cucamonga, CA
- American Best Choice Home Health
- American Best Choice Hospice
- American Companion and Caregivers
- American Current Care of California, a Medical Corporation (Concentra Urgent Care)
- Americare Hospice Providers Inc
- Amh Medical Transportation LLC
- Amin and Bidarian Chiropractic, Inc. (Life and Health Wellness Center)
- Kavita Salvi Amin, DDS
- Minal Amin
- Ali Amir Khan, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.