Julissa Elizabeth Espana

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

2970 Hilltop Mall Rd Ste 104
Richmond, CA 94806-1948

Phone

(510) 243-5195

NPI assigned

Feb 24, 2020

Reactivated

Sep 14, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1720612260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "472 MCGRUE CIR",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945893242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2970 HILLTOP MALL RD STE 104",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948061948",
            "telephone_number": "510-243-5195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPANA",
        "first_name": "JULISSA",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-24",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "deactivation_date": "2021-08-27",
        "reactivation_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose de Jesus Escalera Rodriguez
• Diana Escamilla
• Carmen Liliana Escobar Bonilla
• Paola Ivette Escobedo, LCSW
• Daniel Espana Sagastume
• Nancy Esparza
• Alison Hope Espinosa-Setchko, ACSW
• Angela Espinoza
• Bryan Espiritu, PHARMD
• Saeed Eteiwi, PHARM D

• Behavior Technician in Richmond, CA
• Providers in Richmond, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; 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.