Jennifer Cuellar
Individual provider Active NPI Behavior Technician · Hercules, CA
NPI 1508627993 · NPPES record last updated Jan 22, 2024
Key facts
- NPI
- 1508627993
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 500 Alfred Nobel Dr
Hercules, CA 94547-1838 - Phone
- (510) 863-2507
- NPI assigned
- Jan 22, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
500 Alfred Nobel Dr
Hercules, CA 94547-1838
Mailing address
500 Alfred Nobel Dr
Hercules, CA 94547-1838
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801356787 | Other | CA | MEDICAL |
Other providers in Hercules, CA
- Amy Lynn Choy
- Jennifer Ciddelprado
- John Compagno
- Contra Costa Medical Group for Women, Inc.
- Julia Cornish
- Edith Q Daniels
- Darren NG OD Inc
- David Shen Dental Corp
- Charles Jay Davidson
- Deangelo Andre Davis
All providers in Hercules, CA · Behavior Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.