Jacqueline Fedorowych

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-17-25318 Issued in CA

Practice address

16782 Von Karman Ave
Suite 11
Irvine, CA 92606-9928

Phone

(949) 833-2237

Fax

(949) 833-2230

NPI assigned

Mar 29, 2017

Last updated

Dec 15, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

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  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1093247033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16782 VON KARMAN AVE",
            "address_2": "SUITE 11",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926069928",
            "telephone_number": "949-833-2237",
            "fax_number": "949-833-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16782 VON KARMAN AVE",
            "address_2": "SUITE 11",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926069928",
            "telephone_number": "949-833-2237",
            "fax_number": "949-833-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDOROWYCH",
        "first_name": "JACQUELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-29",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-17-25318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Pooya Fazeli, M.D., PH.D.
• Cindy M. Fazendin, LMFT
• Fcoc Surgical Center, Inc.
• Kimberly Feador
• Vanessa Lynn Feazell
• Marion Joseph Fedoruk, MD
• Feeling Good Medical
• Amanda Erin Feenberg, PA-S
• Valerie Feghali, DPT
• Christopher Timothy Feher

• Behavior Analyst in Irvine, CA
• Providers in Irvine, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.