Individual provider Active NPI

Jetzabel Jauregui, BCBA

  • Behavior Analyst
  • San Diego, CA
National Provider Identifier
1780159517
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-19-40343
Practice address
3934 Murphy Canyon Rd Ste B202
San Diego, CA 92123-4437
Phone
(619) 281-6067
Fax
(619) 795-0814
NPI assigned
Oct 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X 0-18-9123 CA
Behavior Analyst 103K00000X 1-19-40343 Primary

Addresses

Primary practice location

3934 Murphy Canyon Rd Ste B202
San Diego, CA 92123-4437

Mailing address

3934 Murphy Canyon Rd Ste B202
San Diego, CA 92123-4437
Phone (619) 281-6067

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

Practice roles

OrganizationSpecialtyStatusNew patients
ABA & Verbal Behavior Group Behavior Analyst PastSince Oct 21, 2025 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": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1780159517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3934 MURPHY CANYON RD STE B202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234437",
            "telephone_number": "619-281-6067",
            "fax_number": "619-795-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3934 MURPHY CANYON RD STE B202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234437",
            "telephone_number": "619-281-6067",
            "fax_number": "619-795-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAUREGUI",
        "first_name": "JETZABEL",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-08",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "CA",
            "license": "0-18-9123",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-19-40343",
            "primary": true
        }
    ],
    "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 Jan 13, 2020; 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.