Jamar Q Cannon

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

6529 Riverside Ave Ste 230
Riverside, CA 92506-3126

Phone

(951) 228-2832

Fax

(714) 333-4535

NPI assigned

Dec 27, 2023

Sex

Male

Sole proprietor

Yes

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

Practice roles

Locations

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.

• Operant Services

  • Community/Behavioral Health Agency
  • Riverside, CA
  • NPI 1104542216
  NPD

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

{
    "created_epoch": "1703635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1255100673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53413",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926193413",
            "telephone_number": "951-228-2832",
            "fax_number": "714-333-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6529 RIVERSIDE AVE STE 230",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063126",
            "telephone_number": "951-228-2832",
            "fax_number": "714-333-4535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "JAMAR",
        "middle_name": "Q",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-27",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Bracamontes Canedo
• Alexis Bryn Canela
• Sharon R Canga, P.T.
• Brian Patrick Cannady, CADC II
• Ruslana Maria Cannell, MD
• Marcus Alden Cannon, LMFT
• Robert James Cannon, M.D.
• Imelda Jaqueline Cano Beltran, NONE
• David Cano Ventura
• Maria Jose Cano Villa

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.

Verify at the official NPI Registry.