1598186173 NPI number — DR. JALENE DONICA MORENO PH.D., BCBA-D

Table of content: DR. JALENE DONICA MORENO PH.D., BCBA-D (NPI 1598186173)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598186173 NPI number — DR. JALENE DONICA MORENO PH.D., BCBA-D

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MORENO
Provider First Name:
JALENE
Provider Middle Name:
DONICA
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PH.D., BCBA-D
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1598186173
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/14/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
88 BUSH ST
Provider Second Line Business Mailing Address:
UNIT 1140
Provider Business Mailing Address City Name:
SAN JOSE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95126-4863
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
408-472-5254
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
88 BUSH ST
Provider Second Line Business Practice Location Address:
UNIT 1140
Provider Business Practice Location Address City Name:
SAN JOSE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95126-4863
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
408-472-5254
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/26/2013

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103K00000X , with the licence number:  1-13-14749 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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