Jonathan Xavier Cornell, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

688764 Issued in CA

Practice address

3185 N Garey Ave
Pomona, CA 91767-1367

Phone

(909) 755-5220

NPI assigned

Feb 6, 2023

Last updated

Jan 13, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cornell Behavioral Services LLC

  • Behavior Analyst
  • Whittier, CA
  • NPI 1346108230
  NPD Authorized official
• Key Essentials to Behavior Management, Corp

  • Behavior Analyst
  • Rancho Cucamonga, CA
  • NPI 1639680481
  NPD (past)

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1922704303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9333 BASE LINE RD",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301350",
            "telephone_number": "909-755-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3185 N GAREY AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917671367",
            "telephone_number": "909-755-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELL",
        "first_name": "JONATHAN",
        "middle_name": "XAVIER",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-06",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "688764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Isaac Cordova
• Miriam Noemi Cordova, R.N.
• Jade Corlew
• Christopher Jerome Corley I
• Lilly Cornejo
• Jessica Tannabah Cornwell
• Diana Corona Jimenez
• Anakari Corona, LCSW 108934
• Erika Araceli Corona
• Megan Corpuz

• Behavior Analyst in Pomona, CA
• Providers in Pomona, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.