MARYELLIE JACQUEZ
NPI 1124519335
Behavior Analyst in Colton, CA

Q: What is Maryellie Jacquez's NPI number?

The NPI number for Maryellie Jacquez is 1124519335. It was assigned to this individual provider in the NPPES registry on May 23, 2018.

Q: What is Maryellie Jacquez's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Q: When was this NPI record last updated?

The NPPES record for Maryellie Jacquez was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 23, 2018

301 S LA CADENA DR, COLTON, CA 92324(909) 219-5260(909) 264-3728 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 5, 2025, May 23, 2018 (2 updates tracked since 2018).

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About Maryellie Jacquez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARYELLIE JACQUEZ (NPI 1124519335) is an individual behavior analyst provider in Colton, California, licensed in California (D5897194) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1124519335

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameMARYELLIE JACQUEZ

Location Address301 S LA CADENA DRColton, CA 92324-3419

Mailing Address301 S La Cadena DrColton, CA 92324-3419 · (909) 219-5260 · Fax (909) 264-3728

Phone(909) 219-5260

Fax(909) 264-3728

Sole ProprietorNo

Enumeration DateMay 23, 2018

Last NPPES UpdateDecember 5, 20252 updates tracked since enumeration

NPPES CertifiedDecember 5, 2025

✔ NPI 1124519335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in CA · D5897194

Definition

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.

Also ListedCommunity Health WorkerTaxonomy 172V00000X

301 S LA CADENA DR, Colton, CA 92324

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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COLTON CLINICA MEDICA FAMILIAR A MEDICAL CORPORATION

Family Medicine