Jacqueline Marquez Maldonado

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-15-18863 Issued in CA

Practice address

21820 Burbank Blvd Ste 310
Woodland Hills, CA 91367-6481

Phone

(818) 737-2122

NPI assigned

Feb 11, 2016

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

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1306205828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41121 PASCALI LN",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925321545",
            "telephone_number": "818-647-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21820 BURBANK BLVD STE 310",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913676481",
            "telephone_number": "818-737-2122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27403 Ynez Rd Ste 20",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925915603",
            "country_code": "US",
            "telephone_number": "951-381-0750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7505 Foothill Blvd",
            "address_purpose": "LOCATION",
            "city": "Tujunga",
            "state": "CA",
            "postal_code": "910422116",
            "country_code": "US",
            "telephone_number": "818-353-3772",
            "fax_number": "818-353-3776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARQUEZ MALDONADO",
        "first_name": "JACQUELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-11",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-15-18863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce J. Markham, MD
• Catherine Markle
• Marla Carbonell Licensed Clinical Social Worker, PC
• Katsiaryna Maroz, NP
• Michelle Maria Marquez Gallardo
• Andrea Nicole Marquez
• John Alexander Marquez
• Marilyn Marquez
• Evelyn Marroquin, MFT INTERN
• Stephany Lidian Marroquin

• Behavior Analyst in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.