Monica Rae Jorgensen, ACSW, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-41753 Issued in CA

Practice address

8301 June Lake Dr
San Diego, CA 92119-3101

Phone

(619) 929-9492

NPI assigned

Nov 17, 2023

Last updated

Mar 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Monica Rae Ruth Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1841065935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 JUNE LAKE DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921193101",
            "telephone_number": "619-929-9492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 JUNE LAKE DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921193101",
            "telephone_number": "619-929-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORGENSEN",
        "first_name": "MONICA",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "ACSW, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-17",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "119202",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-20-41753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONICA",
            "last_name": "RUTH",
            "middle_name": "RAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Karla Jorgensen Ponce, PHARMD
• Emily Kathleen Jorgensen, PT, DPT
• James Jorgensen
• James P. Jorgensen, M.D.
• Maren Jorgensen
• Thomas Cleon Jorgensen, DEEP SEA DIVING IDC
• Christa Jorgenson, MS, RD
• Chanel Jorgeson
• Ketevan Jorjadze, FNP-C
• Arianne Nicole Jornales

• Behavior Analyst in San Diego, CA
• Providers in San Diego, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; 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.