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JENNA MATTINGLY BCBA
NPI 1205199080
Behavior Analyst in Manhattan Beach, CA

Active since June 18, 2012
2807 ELM AVE, MANHATTAN BEACH, CA 90266(323) 649-0865 Get Directions Write a Review

NPPES record last updated: September 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 13, 2021, Aug 28, 2019 (2 updates tracked since 2019).

About Jenna Mattingly Bcba NPPES

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

JENNA MATTINGLY BCBA (NPI 1205199080) is an individual behavior analyst provider in Manhattan Beach, California, licensed in (1-10-7681) and active in the NPI registry since June 2012. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1205199080
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameJENNA MATTINGLYCredential: BCBA
Location Address2807 ELM AVEManhattan Beach, CA 90266-2427
Mailing Address2807 Elm AveManhattan Beach, CA 90266-2427
Phone(323) 649-0865
Sole ProprietorNo
Enumeration DateJune 18, 2012
Last NPPES UpdateSeptember 13, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2021
✔ NPI 1205199080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License✔ Licensed · 1-10-7681
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.
2807 ELM AVE, Manhattan Beach, CA 90266
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Secondary Practice Locations 2

Location 16059 Bristol Pkwy, #100Culver City, CA 90230-6663 · Phone (866) 278-1520
Location 24236 park Glen RdSt Louis, MN 55416 · Phone (612) 636-7188 · Fax (612) 605-3312

Other Providers at the Same Location NPPES 2

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

CHRISTIAN JAAZIEL JIMENEZ BCBA
Behavior Analyst
2807 ELM AVE
MANHATTAN BEACH, CA 90266
Los Angeles County (310) 310-2931
KELSEY ANNE FALLON
Behavior Analyst
2807 ELM AVE
MANHATTAN BEACH, CA 90266
Los Angeles County (310) 310-2931

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jenna Mattingly's NPI number?

The NPI number for Jenna Mattingly is 1205199080. It was assigned to this individual provider in the NPPES registry on June 18, 2012.

Where is Jenna Mattingly located?

Jenna Mattingly practices at 2807 Elm Ave, Manhattan Beach, CA 90266. The listed phone number is (323) 649-0865.

What is Jenna Mattingly's specialty?

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

When was this NPI record last updated?

The NPPES record for Jenna Mattingly was last updated on September 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.