Jaqueline Cervantes Pacheco

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

4193 Flat Rock Dr Ste 200
Riverside, CA 92505-7113

Phone

(951) 440-6220

NPI assigned

Dec 16, 2019

Last updated

Nov 27, 2023By the provider in NPPES

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

Electronic endpoints 1

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": "1576454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1407494826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12124 CHAMPLAIN ST",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925577713",
            "telephone_number": "951-295-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4193 FLAT ROCK DR STE 200",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925057113",
            "telephone_number": "951-440-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERVANTES PACHECO",
        "first_name": "JAQUELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-16",
        "last_updated": "2023-11-27",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "datadrivenedu.com",
            "affiliation": "Y",
            "endpointDescription": "website",
            "affiliationName": "Data Driven Educators, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "4193 Flat Rock Dr Ste 200",
            "city": "Riverside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925057113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cep America-California
• Menandro Ceralde
• Alejandra Cerda-Aguila
• Ruth Cerda
• Alexis Isabella Cerna
• Alondra Cervantes
• Andrea A Cervantes
• Angela G Cervantes
• April Cervantes, CMT
• Danery Cervantes

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.