Active NPI
Jensen Brinker
- Behavior Analyst
- Sacramento, CA
National Provider Identifier
1326518903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-52938
- Practice address
- 7750 College Town Dr Ste 204
Sacramento, CA 95826-2362 - Phone
- (888) 428-3223
- Fax
- (323) 866-1881
- NPI assigned
- Nov 27, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | 1-21-52938 | CA | Primary |
Addresses
Primary practice location
7750 College Town Dr Ste 204
Sacramento, CA 95826-2362
Mailing address
4221 Wilshire Blvd Ste 300
Los Angeles, CA 90010
Phone (888) 428-3223
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631577600000",
"number": "1326518903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4221 WILSHIRE BLVD STE 300",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90010",
"telephone_number": "888-428-3223",
"fax_number": "323-866-1881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7750 COLLEGE TOWN DR STE 204",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958262362",
"telephone_number": "888-428-3223",
"fax_number": "323-866-1881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRINKER",
"first_name": "JENSEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-27",
"last_updated": "2021-09-14",
"certification_date": "2021-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-21-52938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.