Jennifer Rondinelli, MASTER EDUCATION

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

RBT-15-11422 Issued in CA

Practice address

3002 Dow Ave Ste 122
Tustin, CA 92780-7247

Phone

(994) 400-6522

Fax

(949) 328-7689

NPI assigned

Dec 8, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Creative Behavior Interventions

  • Behavior Analyst
  • Tustin, CA
  • NPI 1750650933
  NPD (past)

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

{
    "created_epoch": "1512691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512691200000",
    "number": "1396250668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3002 DOW AVE STE 122",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927807247",
            "telephone_number": "994-400-6522",
            "fax_number": "949-328-7689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3002 DOW AVE STE 122",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927807247",
            "telephone_number": "994-400-6522",
            "fax_number": "949-328-7689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONDINELLI",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "MASTER EDUCATION",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-08",
        "last_updated": "2017-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "RBT-15-11422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven S Roman, PSY.D., MFT
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• Ronald Cotliar MD Inc
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• Jeanette Rosales Briseno
• Tatiana Rosales
• Barbara Rosen, PH.D.
• Mohsen Roshanaei, D.D.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2017; 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.