Jacob Chacon
Individual provider Active NPI Behavior Technician · Ontario, CA
NPI 1952153306 · NPPES record last updated Apr 1, 2024
Key facts
- NPI
- 1952153306
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1500 S Haven Ave
Ontario, CA 91761-2969 - Phone
- (909) 749-5204
- NPI assigned
- Apr 1, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
1500 S Haven Ave
Ontario, CA 91761-2969
Mailing address
1512 Jellick Ave Apt B
Rowland Heights, CA 91748-2026
Phone (626) 527-5740
Other providers in Ontario, CA
- Rosa A Cervantes
- Isabella Cetina
- Taekyung Cha
- Dayl Therese Chachappan
- Delmy Chacon
- Kimberly Chacon
- Natalie Chacon
- Chaffey Joint Union High School District
- Isabella Chaffino
- Charleena Chagoya
All providers in Ontario, CA · Behavior Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.