Active NPI
Jenai Vickers
- Behavior Technician
- San Bernardino, CA
National Provider Identifier
1245139898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 473 E Carnegie Dr Ste 200
San Bernardino, CA 92408-4201 - Phone
- (760) 237-8070
- NPI assigned
- Nov 2, 2026
- Last updated
- Nov 2, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
473 E Carnegie Dr Ste 200
San Bernardino, CA 92408-4201
Mailing address
450 Tava LN
Palm Desert, CA 92211-9062
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1793577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1793577600000",
"number": "1245139898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 TAVA LN",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922119062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "473 E CARNEGIE DR STE 200",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924084201",
"telephone_number": "760-237-8070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VICKERS",
"first_name": "JENAI",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2026-11-02",
"last_updated": "2026-11-02",
"certification_date": "2026-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Bernardino, CA
- Veterans Alcohol Rehabilitation Program, Inc.- Varp, Inc. (Varp, Inc.)
- Veterans Alcohol Rehabilitation Program, Inc.-Varp, Inc. (Varp, Inc.)
- Vibra Hospital of San Bernardino, LLC (Ballard Rehabilitation Hospital)
- Vibrant Behavioral Health a Professional Corporation
- Assunta Maria Vickers, RN, PHN
- Victor Community Support Services
- Victor Community Support Services, Inc
- Victor Community Support Services, Inc.
- Victor Community Support Services, Inc.
- Victor Treatment Centers, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.