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Jazzlin Hernandez

Behavior Analyst β€’ Long Beach, CA

Active NPI 1154891125 Individual Practitioner Female Practitioner
Practice location in NPPES

111 W Ocean Blvd Fl 4
Long Beach, CA 908024633

Call 5622046585 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

111 W Ocean Blvd Fl 4

Long Beach, CA 908024633

Telephone 5622046585
Fax 8182416853
Organization at the Same NPPES Address or Phone
California Care Associates Inc Facility NPI 1508741976

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Long Beach and California

165 active clinicians are listed under Behavior Analyst with a practice address in Long Beach, CA (20,363 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Long Beach

0% of these 165 clinicians have the CMS telehealth indicator.

0% of these 165 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-10-19
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES CA 12367098

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location October 19, 2023

Registered at 111 W OCEAN BLVD FL 4, LONG BEACH, CA 908024633 (Tel: 5622046585)

πŸ“
Updated Business Mailing Address October 19, 2023

Registered at 111 W OCEAN BLVD FL 4, LONG BEACH, CA 908024633 (Tel: 5622046585)

πŸ‘€
Provider Name / Credentials Updated October 19, 2023

Recorded as JAZZLIN HERNANDEZ

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2023

Behavior Analyst (license number reported to NPPES: CA 12367098)

πŸ”„
NPI Profile Reactivated October 18, 2023

Record officially reactivated for active practice on October 18, 2023

⚠️
NPI Profile Deactivated August 10, 2023

NPPES lists this NPI as deactivated as of August 10, 2023; the reason is not published.

βœ…
NPI Profile Active December 03, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 03, 2018

Registered at 25115 AVENUE STANFORD STE 100, VALENCIA, CA 913554791 (Tel: 8182416780)

πŸ“
Business Mailing Address (Initial Record) December 03, 2018

Registered at 206 N JACKSON ST STE 202, GLENDALE, CA 912064330 (Tel: 8182416780)

πŸ‘€
Provider Name / Credentials (Initial Record) December 03, 2018

Recorded as JAZZLIN HERNANDEZ

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 03, 2018

Behavior Technician

🟒
Initial NPI Registration & Enumeration December 03, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1154891125
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 03, 2018
Last Update: October 19, 2023
Sole Proprietor: No

Mailing Address

111 W Ocean Blvd Fl 4

Long Beach, CA 908024633

Phone: 5622046585

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.