Jessica Acquaviva
Individual provider Active NPI Behavior Technician · Monrovia, CA
NPI 1366298069 · NPPES record last updated Apr 24, 2024
Key facts
- NPI
- 1366298069
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1333 S Mayflower Ave Ste 220
Monrovia, CA 91016-5239 - Phone
- (855) 295-3276
- Fax
- (888) 588-2752
- NPI assigned
- Apr 24, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
1333 S Mayflower Ave Ste 220
Monrovia, CA 91016-5239
Mailing address
1333 S Mayflower Ave Ste 220
Monrovia, CA 91016-5239
Phone (818) 241-6780
Other providers in Monrovia, CA
- Lucia Acosta
- Santana M Acosta
- Veronica Acosta
- Victoria Acosta
- Samuel Acquah
- Nahid Haji Acs
- Act Now Psychiatry and Nursing P.C.
- Celia Acuna
- Liliana Acuna
- Remmi Acuna
All providers in Monrovia, CA · Behavior Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.