Individual provider Active NPI

Jessica Marie Lascano, APCC, BCBA

  • Behavior Analyst
  • Claremont, CA
National Provider Identifier
1922794858
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-56864 Issued in CA
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

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
8762CAMDMental Health Counselor
3613CAMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Strive Abc a Psychological Corporation Behavior Analyst CurrentSince Oct 1, 2024 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.

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.

Verify at the official NPI Registry.