Jacelyn Mendes, MA, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-15-18766 Issued in CA

Practice address

2608 25TH St
San Francisco, CA 94110-3515

Phone

(650) 619-9941

NPI assigned

Nov 17, 2015

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

Credentials

Master of Arts

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447718400000",
    "number": "1437523206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2608 25TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103515",
            "telephone_number": "650-619-9941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2608 25TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103515",
            "telephone_number": "650-619-9941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDES",
        "first_name": "JACELYN",
        "credential": "MA, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-17",
        "last_updated": "2015-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-15-18766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Mendelsohn, MD
• Andrew Crockett Mendelson, NP
• John Edward Mendelson, MD
• Terrie Mendelson, M.D.
• Fredric Steven Mendes, MD
• Nora Mendes, RN
• Luz Mendez Reyes
• Sabrina Isabel Mendez-Contreras, MD
• Abril Mendez, M.S., CCC-SLP
• Alegra Isabel Mendez, MD

• Behavior Analyst in San Francisco, CA
• Providers in San Francisco, 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 17, 2015; 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.