Active NPI
Jessica Marie Lascano, APCC, BCBA
- Behavior Analyst
- Claremont, CA
National Provider Identifier
1922794858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-56864
- Practice address
- 1420 N Claremont Blvd Ste 102B
Claremont, CA 91711-3583 - Phone
- (626) 209-9042
- NPI assigned
- Apr 13, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 8762 | CA | |
| School Psychologist | 103TS0200X | 3613 | CA | |
| Behavior Analyst | 103K00000X | 1-21-56864 | CA | Primary |
Addresses
Primary practice location
1420 N Claremont Blvd Ste 102B
Claremont, CA 91711-3583
Mailing address
663 Huron PL
Claremont, CA 91711-2600
Phone (626) 209-9042
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8762 | CA | MD | Mental Health Counselor |
| 3613 | CA | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Strive Abc a Psychological Corporation | Behavior Analyst | Current | Accepting new patients |
Locations
1420 N Claremont Blvd
Ste 102B
Claremont, CA 91711
Phone (626) 209-9042
Organizations & group practices 1
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.
-
- Behavior Analyst
- Claremont, CA
- NPI 1780458570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731024000000",
"number": "1922794858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "663 HURON PL",
"city": "CLAREMONT",
"state": "CA",
"postal_code": "917112600",
"telephone_number": "626-209-9042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 N CLAREMONT BLVD STE 102B",
"city": "CLAREMONT",
"state": "CA",
"postal_code": "917113583",
"telephone_number": "626-209-9042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASCANO",
"first_name": "JESSICA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "APCC, BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-13",
"last_updated": "2024-11-08",
"certification_date": "2024-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "8762",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "CA",
"license": "3613",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-21-56864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Claremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.