Jasmine Gallegos
Behavior Technician in Costa Mesa, CA. Individual provider (NPI-1).
NPI number1669938973
StatusActive
Last updated in NPPESFeb 12, 2019
Details
- NPI
- 1669938973
- Entity type
- Individual (NPI-1)
- Name
- Jasmine Gallegos
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 12, 2019
- Last updated
- Feb 12, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
3303 Harbor Blvd Ste B8Costa Mesa, CA 92626-1517
Phone 714-786-6069 · Fax 714-834-9822
Mailing address
3303 Harbor Blvd Ste B8Costa Mesa, CA 92626-1517
Phone 714-786-6069 · Fax 714-834-9822
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 1,011 Behavior Technician providers in Costa Mesa · All 5,371 providers in Costa Mesa
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