Jacqueline Garcia Dolan, M.S.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

12046755 Issued in CA

Practice address

26300 Chester CT
Tehachapi, CA 93561-7476

Phone

(661) 699-4899

NPI assigned

Jul 5, 2021

Last updated

Aug 9, 2022By the provider in NPPES

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jdolan@behaviorbear.com

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.

• Behavior Education Analysis & Research LLC

  dba Bear

  • Behavior Analyst
  • Tehachapi, CA
  • NPI 1063042422
  NPD

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

{
    "created_epoch": "1625443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1295306967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26300 CHESTER CT",
            "city": "TEHACHAPI",
            "state": "CA",
            "postal_code": "935617476",
            "telephone_number": "661-361-5774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26300 CHESTER CT",
            "city": "TEHACHAPI",
            "state": "CA",
            "postal_code": "935617476",
            "telephone_number": "661-699-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLAN",
        "first_name": "JACQUELINE",
        "middle_name": "GARCIA",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-05",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "12046755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "F2537169",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JDolan@behaviorbear.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "None",
            "address_1": "26300 Chester Ct",
            "city": "Tehachapi",
            "state": "CA",
            "country_code": "US",
            "postal_code": "935617476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Karyn L Delichte, PHD
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• Debby D Diamond, LCSW
• Jennifer Diaz, LVN
• Matthew Thomas Dolan
• Donald Lee Pearson DDS Dental Corporation (Peachy Dental)
• Miguel Angel Dorador
• Michelle Nicole Doucette, LMFT90562
• Dr. Ana R Reyna a Professional Corporation

• Behavior Analyst in Tehachapi, CA
• Providers in Tehachapi, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.