Individual provider Active NPI

Jennifer Jung Fuchs, MS, BCBA, LBA

  • Behavior Analyst
  • Chino, CA
National Provider Identifier
1164906202
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-20-46115 Issued in CA
Practice address
11760 Central Ave Ste 100
Chino, CA 91710-1995
Phone
(909) 248-3744
NPI assigned
Sep 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-20-46115 CA Primary

Addresses

Primary practice location

11760 Central Ave Ste 100
Chino, CA 91710-1995

Mailing address

1005 E Las Tunas Dr # 135
San Gabriel, CA 91776-1614
Phone (310) 913-4893

Other practice location 1

36 Oak Ln
Mountain View, CA 94040-2629
Phone (650) 938-3600

Other identifiers 1

IdentifierTypeStateIssuer
BEH-000652OtherAZLICENSED BEHAVIOR ANALYST

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Number One Behavior Services, LLC Behavior Analyst CurrentSince Aug 25, 2024 Accepting new patients
Therapeutic Learning Consultants, Inc. PastSince Oct 1, 2019 Accepting new patients
Autism Behavior Centers Inc Behavior Analyst Past Accepting new patients

Locations

7056 Archibald Ave
Ste 102222
Corona, CA 92880
Phone (951) 254-2344

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1164906202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 E LAS TUNAS DR # 135",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761614",
            "telephone_number": "310-913-4893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 CENTRAL AVE STE 100",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917101995",
            "telephone_number": "909-248-3744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36 Oak Ln",
            "address_purpose": "LOCATION",
            "city": "Mountain View",
            "state": "CA",
            "postal_code": "940402629",
            "country_code": "US",
            "telephone_number": "650-938-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUNG FUCHS",
        "first_name": "JENNIFER",
        "credential": "MS, BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-24",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-20-46115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED BEHAVIOR ANALYST",
            "identifier": "BEH-000652",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.