Jenna Abundo, BCBA
Individual provider Active NPI Behavior Analyst · Orange, CA
NPI 1780241836 · NPPES record last updated Oct 9, 2024
Key facts
- NPI
- 1780241836
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 625 The City Dr S Ste 120
Orange, CA 92868-3352 - Phone
- (866) 727-8274
- NPI assigned
- May 23, 2019
- Sex
- Female
- 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 Analyst | 103K00000X | Yes |
Addresses
Primary practice location
625 The City Dr S Ste 120
Orange, CA 92868-3352
Mailing address
625 The City Dr S Ste 120
Orange, CA 92868-3352
Phone (866) 727-8274
Other providers in Orange, CA
- Michelle Renee Abueg
- Yousra Abdelfatah Abueleneen
- Nivea Ayanna Abuka
- Gennesa Nichol Abular
- Arleen Abundis
- Daniela Aburto Hernandez
- Jassmin Aburto
- Ayah Adnan Abusham
- Hala Adnan Abusham
- Lina Ibrahim Abuyahya
All providers in Orange, CA · Behavior Analyst 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 9, 2024. 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.