Jessica Chen Berghauser, M.A., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-16-24501 Issued in CA

Practice address

22365 El Toro Rd Ste 151
Lake Forest, CA 92630-5053

Phone

(562) 201-7119

NPI assigned

Jan 4, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jessica Chen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• 1 Spectrum Therapy

  • Behavior Analyst
  • Laguna Hills, CA
  • NPI 1023747482
  NPD Authorized official

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1386189082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21045 CAROB LN",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916627",
            "telephone_number": "562-201-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22365 EL TORO RD STE 151",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926305053",
            "telephone_number": "562-201-7119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 Gateway Blvd Ste 120",
            "address_purpose": "LOCATION",
            "city": "South San Francisco",
            "state": "CA",
            "postal_code": "940807066",
            "country_code": "US",
            "telephone_number": "833-458-0386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGHAUSER",
        "first_name": "JESSICA",
        "middle_name": "CHEN",
        "credential": "M.A., BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-04",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-16-24501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "CHEN",
            "credential": "BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ashley Belt
• Katherine Michelle Benavente
• George Edward Benedetto Jr., RPH
• Karen Benik, M.D.
• Madison Benz, PA-C
• Alan Steven Berman, M.D
• Eliza Berris, DDS
• Gabrielle Bertolino
• Better Health& Wellness Center
• Angeline Betts

• All providers in Lake Forest, CA
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.