Jacqueline Susan Kammer, M.S., NCSP, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-19-34470 Issued in CA

Practice address

4221 Wilshire Blvd Ste 300a
Los Angeles, CA 90010-3537

Phone

(888) 428-3223

Fax

(323) 866-1881

NPI assigned

Apr 2, 2019

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

Credentials

Master of Science

Practice roles

Locations

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.

• Intercare Therapy Inc.

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1164065892
  NPD

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1922560697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 HANNUM AVE STE B",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306525",
            "telephone_number": "310-839-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 WILSHIRE BLVD STE 300A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103537",
            "telephone_number": "888-428-3223",
            "fax_number": "323-866-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMMER",
        "first_name": "JACQUELINE",
        "middle_name": "SUSAN",
        "credential": "M.S., NCSP, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-02",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-19-34470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cornelia Kaminsky, MD
• Dina Kamionski
• Erika Kamish
• Keira L. Kamm, MD
• Folasade Fayemi Kammen, ACSW
• Abigail Kammeraad-Campbell
• Rebecca Rose Kammes, LMFT
• Shannon Kammholz
• Elise Kamp, LCSW
• Sheena L Kamra, M.D.

• Behavior Analyst in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.