Active NPI
Jacqueline Estrada
- Behavior Technician
- Chula Vista, CA
National Provider Identifier
1508402918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- F2958987
- Practice address
- 891 Kuhn Dr Ste 110
Chula Vista, CA 91914-3551 - Phone
- (619) 864-7070
- NPI assigned
- Nov 20, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | F2958987 | CA | Primary |
Addresses
Primary practice location
891 Kuhn Dr Ste 110
Chula Vista, CA 91914-3551
Mailing address
592 Starstone PL
San Marcos, CA 92078-2337
Phone (619) 518-2762
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F2958987 | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574208000000",
"number": "1508402918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "592 STARSTONE PL",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920782337",
"telephone_number": "619-518-2762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "891 KUHN DR STE 110",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919143551",
"telephone_number": "619-864-7070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTRADA",
"first_name": "JACQUELINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-20",
"last_updated": "2019-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "F2958987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.