Jovan Lee De la Vega

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

14344 McArt Rd
Victorville, CA 92392-3000

Phone

(321) 900-7514

NPI assigned

Mar 22, 2022

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

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": "1647907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1972252328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1853",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923070035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14344 MCART RD",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923923000",
            "telephone_number": "321-900-7514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA VEGA",
        "first_name": "JOVAN",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-22",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Reyes De Golier, DMD
• Erica De Jager
• Rommel Dexter Montealegre De Jesus, DENTAL HYGIENIST
• April Lynette De la Cruz, P.A-C
• Brenda De la Paz-Garcia
• Jackilyn De Lara
• Juana De Leon
• Pauline Sabrina De Pinto
• Adriana De Santiago
• Luis Carlos De Vivero Lozano

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; 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.