Jesse Joshua Abellaneda
Individual provider Active NPI Behavior Technician · Orange, CA
NPI 1063220135 · NPPES record last updated Dec 20, 2024
Key facts
- NPI
- 1063220135
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1820 W Orangewood Ave Ste 110
Orange, CA 92868-5056 - Phone
- (714) 696-2862
- Fax
- (714) 242-9308
- NPI assigned
- Dec 20, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
1820 W Orangewood Ave Ste 110
Orange, CA 92868-5056
Mailing address
1820 W Orangewood Ave Ste 110
Orange, CA 92868-5056
Phone (714) 696-2862
Other providers in Orange, CA
- Mhdshafic Abdulkarim
- Sameer Rayhan Abdullah
- Matin Abed Haghighi
- Eileen Caridad Abejar
- Christina Marie Abel
- Cherry Mae Abellanosa
- Eric Hierro Abello
- Trisha Mae Rabor Abesia
- Brandon Jude Abeyta
- Paige Abeyta
All providers in Orange, CA · Behavior Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.