Shennen Salcedo Javillo, B.S.

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

4688 Ontario Mills Pkwy
Ontario, CA 91764-5104

Phone

(714) 476-5754

NPI assigned

Aug 3, 2020

Last updated

Sep 15, 2020By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1356951560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4688 ONTARIO MILLS PKWY",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917645104",
            "telephone_number": "714-476-5754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4688 ONTARIO MILLS PKWY",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917645104",
            "telephone_number": "714-476-5754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVILLO",
        "first_name": "SHENNEN",
        "middle_name": "SALCEDO",
        "credential": "B.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-03",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Jaramillo, LCSW
• Marissa Jaramillo
• Jessica Jarboe, RBT
• Jaswant Suthar, DDS, Inc
• Marrie Jauregui
• JDCM Corporation (Trinity Medical Clinic)
• JDCM Corporation (Trinity Medical Clinic)
• JDMD Clinics, Apc
• Jebcob
• Jordan Jedlick

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.