Active NPI
Jackeline Londono
- Behavior Technician
- Corona, CA
National Provider Identifier
1144728080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-16-26629
- Practice address
- 1307 W 6TH St Ste 121
Corona, CA 92882-1642 - Phone
- (951) 523-0221
- NPI assigned
- Jan 25, 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 Technician | 106S00000X | RBT-16-26629 | CA | Primary |
Addresses
Primary practice location
1307 W 6TH St Ste 121
Corona, CA 92882-1642
Mailing address
20395 Opera Loop
Riverside, CA 92507-0147
Phone (909) 496-9575
Other practice location 1
5080 Shoreham Pl Ste 103
San Diego, CA 92122-5931
Phone (858) 272-2662
Other practice location 2
222 Martin Suite 107
Irvine, CA 92612
Phone (949) 474-5577
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-16-26629 | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1144728080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20395 OPERA LOOP",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925070147",
"telephone_number": "909-496-9575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1307 W 6TH ST STE 121",
"city": "CORONA",
"state": "CA",
"postal_code": "928821642",
"telephone_number": "951-523-0221"
}
],
"practiceLocations": [
{
"address_1": "5080 Shoreham Pl Ste 103",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921225931",
"country_code": "US",
"telephone_number": "858-272-2662",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "222 Martin Suite 107",
"address_purpose": "LOCATION",
"city": "Irvine",
"state": "CA",
"postal_code": "92612",
"country_code": "US",
"telephone_number": "949-474-5577",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LONDONO",
"first_name": "JACKELINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-25",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "RBT-16-26629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.