Individual provider Active NPI

Jocelyn Liliam Borbolla, BCBA

  • Behavior Technician
  • Los Angeles, CA
National Provider Identifier
1659298719
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
W9412569 Issued in CA
Practice address
2635 Pennsylvania Ave
Los Angeles, CA 90033-3523
Phone
(323) 205-3168
NPI assigned
Jun 30, 2026
Last updated
Jun 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X W9412569 CA Primary

Addresses

Primary practice location

2635 Pennsylvania Ave
Los Angeles, CA 90033-3523

Mailing address

2635 Pennsylvania Ave
Los Angeles, CA 90033-3523
Phone (323) 205-3168

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

NPI Registry JSON

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

{
    "created_epoch": "1782777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1659298719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2635 PENNSYLVANIA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900333523",
            "telephone_number": "323-205-3168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2635 PENNSYLVANIA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900333523",
            "telephone_number": "323-205-3168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORBOLLA",
        "first_name": "JOCELYN",
        "middle_name": "LILIAM",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-30",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "W9412569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.