Jessica Cecilia Pavon

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

106S00000X Issued in CA

Practice address

139 Hugo St Apt 3
San Francisco, CA 94122-2760

Phone

(650) 797-2378

NPI assigned

Jun 12, 2020

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

State licenses

Practice roles

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.

• Adapt: a Behavioral Collective, Inc.

  • Early Intervention Provider Agency
  • San Francisco, CA
  • NPI 1508226267
  NPD (past)

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1215552443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 HUGO ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941222738",
            "telephone_number": "650-797-2378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 HUGO ST APT 3",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941222760",
            "telephone_number": "650-797-2378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVON",
        "first_name": "JESSICA",
        "middle_name": "CECILIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-12",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "106S00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathalie Paven, LCSW
• Kathryn Asanda Pavlacka, CMT
• Kimberly Ann Pavlakos, LCSW
• Danijela Pavlic
• Victor Pavlovsky
• Ivy Paw, MD
• Stephanie Teresa Pawek
• Jennifer Pawlowski, MD
• Zoriana Pawluk Florio
• Sierra Dawn Pax, LCSW

• Behavior Technician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; 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.