Jeradhine Adriano
Individual provider Active NPI Behavior Technician · La Mesa, CA
NPI 1568304988 · NPPES record last updated Apr 6, 2026
Key facts
- NPI
- 1568304988
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-23-287133 (CA)
- Practice address
- 7373 University Ave Ste 207
La Mesa, CA 91942-0524 - Phone
- (619) 713-0737
- NPI assigned
- Apr 6, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-23-287133 | CA | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician |
106S00000X | RBT-23-287133 | CA | Yes |
Addresses
Primary practice location
7373 University Ave Ste 207
La Mesa, CA 91942-0524
Mailing address
17553 Caminito Canasto
San Diego, CA 92127-1107
Phone (858) 914-7802
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All providers in La Mesa, 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 Apr 6, 2026. 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.