Jessica Teresa Marcus-Gomez, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-23-66959 Issued in CA

Practice address

1249 Pinole Valley Rd Ste 201
Pinole, CA 94564-1383

Phone

(510) 679-3545

NPI assigned

Jul 30, 2018

Last updated

Jul 28, 2023By 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

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1386122653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 POTRERO AVE",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948043835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1249 PINOLE VALLEY RD STE 201",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945641383",
            "telephone_number": "510-679-3545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1330 Arnold Dr Ste 143",
            "address_purpose": "LOCATION",
            "city": "Pacheco",
            "state": "CA",
            "postal_code": "945536538",
            "country_code": "US",
            "telephone_number": "925-310-6311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCUS-GOMEZ",
        "first_name": "JESSICA",
        "middle_name": "TERESA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-30",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-23-66959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; 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.