Jenna Abdel-Khaliq
Individual provider Active NPI Behavior Technician · Santa Cruz, CA
NPI 1689541534 · NPPES record last updated Oct 23, 2025
Key facts
- NPI
- 1689541534
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 101 Cooper St
Santa Cruz, CA 95060-4526 - Phone
- (877) 264-6747
- NPI assigned
- Oct 23, 2025
- Sex
- Unspecified or another gender identity
- 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
101 Cooper St
Santa Cruz, CA 95060-4526
Mailing address
295 89TH St Ste 306
Daly City, CA 94015-1656
Other providers in Santa Cruz, CA
- Zahra Abbas
- Marquita Bell Abbate
- Melissa Ann Abbey
- Aasha Abbott
- Sierra Abchal
- Farzana Abed
- Iris Abegglen
- Richard Mark Abend
- Shannon Abernathy
- Faye Ferida Abitbol
All providers in Santa Cruz, 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 Oct 23, 2025. 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.