Individual provider Active NPI

Jacob Daniel Stracener, BA

  • Behavior Analyst
  • San Diego, CA
National Provider Identifier
1609342344
Registry record updated Jun 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-22-62965 Issued in CA
Practice address
1620 5TH Ave Ste 800
San Diego, CA 92101-2792
Phone
(619) 730-9118
Fax
(323) 389-2730
NPI assigned
Oct 20, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-22-62965 CA Primary
Behavior Technician 106S00000X RBT-18-67467 CA

Addresses

Primary practice location

1620 5TH Ave Ste 800
San Diego, CA 92101-2792

Mailing address

535 Woodlawn Ave Apt 27
Chula Vista, CA 91910-5140
Phone (619) 730-9118

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
Credentials
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
RBT-18-67467CAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Beginnings Inc. Behavior Analyst PastSince Feb 4, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1539993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782604800000",
    "number": "1609342344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 WOODLAWN AVE APT 27",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919105140",
            "telephone_number": "619-730-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 5TH AVE STE 800",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012792",
            "telephone_number": "619-730-9118",
            "fax_number": "323-389-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRACENER",
        "first_name": "JACOB",
        "middle_name": "DANIEL",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-20",
        "last_updated": "2026-06-28",
        "certification_date": "2026-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-22-62965",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "RBT-18-67467",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2026; 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.