Jennifer Pineda
Behavior Technician in Los Angeles, CA. Individual provider (NPI-1).
NPI number1104528512
StatusActive
Last updated in NPPESOct 29, 2025
Details
- NPI
- 1104528512
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Pineda
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 20, 2023
- Certification date
- Oct 29, 2025
- Last updated
- Oct 29, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
| 167G00000X | Licensed Psychiatric Technician | 42839 | CA |
Practice location
12021 Wilmington Ave Bldg 18Los Angeles, CA 90059-3019
Phone 424-454-5530
Mailing address
1832 W Commonwealth Ave Unit 109Fullerton, CA 92833-3048
Phone 714-583-2806
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