Jessica M Mulero

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

3200 E Guasti Rd Ste 100
Ontario, CA 91761-8661

Phone

(909) 240-2565

Fax

(909) 259-2369

NPI assigned

Jul 20, 2021

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1144893017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13340 LARKHAVEN DR",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533205",
            "telephone_number": "951-563-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 E GUASTI RD STE 100",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917618661",
            "telephone_number": "909-240-2565",
            "fax_number": "909-259-2369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULERO",
        "first_name": "JESSICA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20000200421100",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keturah Nyota E Nyota Mpundu
• Dalaynah Muasau
• Naila Mubashar, M.D
• Andrea Ximena Mujica
• Antoinette Mulder
• Claire Jessica-Hannah Muller
• Cody Munday, ATC
• Fabiola Muneton
• Kristen Mungcal
• Annalisa Mungia

• Behavior Technician in Ontario, CA
• Providers in Ontario, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.