Jessica M Santillano, BEHAVIOR TECHNICIAN

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

155 Grand Ave Ste 500
Oakland, CA 94612-3747

Phone

(866) 523-4268

NPI assigned

Aug 24, 2020

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

Other names 1

• Jessica M Santillano Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1952914509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15680 SANTORINI LN UNIT 211",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950374392",
            "telephone_number": "303-681-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 GRAND AVE STE 500",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123747",
            "telephone_number": "866-523-4268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTILLANO",
        "first_name": "JESSICA",
        "middle_name": "M",
        "credential": "BEHAVIOR  TECHNICIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "SANTILLANO",
            "middle_name": "M",
            "credential": "TECH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Stephanie Santilena, OTR/L
• Mario Santillan-Ramirez
• Alyssa Christine Santillan
• Diana Santillan
• Rosario Milagros Santillana, MD
• Wendy Santos-Modesitt, PH.D.
• Maria Lisa Vitug Santos-Wilson
• Daniel Santos
• Elizabeth Santos
• Elizabeth A. Santos, LMFT

• Behavior Technician in Oakland, CA
• Providers in Oakland, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; 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.