Individual provider Active NPI

Jazmine Chavez, MSED, BCBA

  • Behavior Analyst
  • Ontario, CA
National Provider Identifier
1821626417
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
3350 Shelby St Ste 200
Ontario, CA 91764-5556
Phone
(818) 208-0164
Fax
(855) 621-8966
NPI assigned
Mar 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

3350 Shelby St Ste 200
Ontario, CA 91764-5556

Mailing address

3350 Shelby St Ste 20
Ontario, CA 91764-4882
Phone (818) 208-0164

Other practice location 1

303 Twin Dolphin Dr Ste 600
Redwood City, CA 94065-1422
Phone (818) 208-0164

Other practice location 2

671 W Tefft St Ste 14
Nipomo, CA 93444-8988
Phone (818) 208-0164

Other practice location 3

22800 Lyons Ave Ste 110
Newhall, CA 91321-2897
Phone (818) 208-0164

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": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1821626417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 SHELBY ST STE 20",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917644882",
            "telephone_number": "818-208-0164",
            "fax_number": "855-621-8966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 SHELBY ST STE 200",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917645556",
            "telephone_number": "818-208-0164",
            "fax_number": "855-621-8966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 Twin Dolphin Dr Ste 600",
            "address_purpose": "LOCATION",
            "city": "Redwood City",
            "state": "CA",
            "postal_code": "940651422",
            "country_code": "US",
            "telephone_number": "818-208-0164",
            "fax_number": "855-621-8966",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "671 W Tefft St Ste 14",
            "address_purpose": "LOCATION",
            "city": "Nipomo",
            "state": "CA",
            "postal_code": "934448988",
            "country_code": "US",
            "telephone_number": "818-208-0164",
            "fax_number": "855-621-8966",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22800 Lyons Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Newhall",
            "state": "CA",
            "postal_code": "913212897",
            "country_code": "US",
            "telephone_number": "818-208-0164",
            "fax_number": "855-621-8966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "JAZMINE",
        "credential": "MSED, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; 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.