Active NPI
Jessica Tercero
- Behavior Analyst
- Encino, CA
National Provider Identifier
1235596610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 16500 Ventura Blvd Ste 360
Encino, CA 91436-2016 - Phone
- (323) 529-4223
- NPI assigned
- Jan 15, 2016
- Last updated
- Dec 7, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | NU | ||
| Behavior Analyst | 103K00000X | NU | Primary |
Addresses
Primary practice location
16500 Ventura Blvd Ste 360
Encino, CA 91436-2016
Mailing address
16500 Ventura Blvd Ste 360
Encino, CA 91436-2016
Phone (323) 529-4223
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Potential on the Rise LLC | Behavior Analyst | Past | Accepting new patients |
| Holding Hands Opco LLC | Behavior Analyst | Past | Accepting new patients |
| Holding Hands, Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Developmentally Disabled Services Day Training Agency
- Burbank, CA
- NPI 1568771046
-
- Behavior Analyst
- Los Angeles, CA
- NPI 1376311779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701907200000",
"number": "1235596610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16500 VENTURA BLVD STE 360",
"city": "ENCINO",
"state": "CA",
"postal_code": "914362016",
"telephone_number": "323-529-4223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16500 VENTURA BLVD STE 360",
"city": "ENCINO",
"state": "CA",
"postal_code": "914362016",
"telephone_number": "323-529-4223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERCERO",
"first_name": "JESSICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-15",
"last_updated": "2023-12-07",
"certification_date": "2023-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.