JAYLEN DEANDRE TREGLE NPI 1003448366

Behavior Technician in Vallejo, CA

Individual Male Behavior Technician

About JAYLEN TREGLE

Jaylen Tregle is a provider established in Vallejo, California and his medical specialization is behavior technician. The NPI number of Jaylen Tregle is 1003448366 and was assigned on February 2020. The practitioner's primary taxonomy code is 106S00000X. The provider is registered as an individual and his NPI record was last updated February 2020.

NPI

1003448366

Provider Name JAYLEN DEANDRE TREGLE
Provider Location Address216 CLEARPOINTE DR VALLEJO, CA 94591
Provider Mailing Address216 CLEARPOINTE DR VALLEJO, CA 94591
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date02-05-2020
Last Update Date02-05-2020

Primary Taxonomy

Taxonomy Code106S00000X
ClassificationBehavior Technician
TypeBehavioral Health & Social Service Providers
Taxonomy DescriptionThe behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Business Address

JAYLEN DEANDRE TREGLE
216 CLEARPOINTE DR
VALLEJO, CA
ZIP 94591
Phone: (707) 980-4644

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Mailing Address

JAYLEN DEANDRE TREGLE
216 CLEARPOINTE DR
VALLEJO, CA
ZIP 94591
Phone: (707) 980-4644

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.