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JEROME PRUDENCIO JR.
NPI 1669082434
Technician, Other in Los Angeles, CA

Active since August 05, 2020
145 S FAIRFAX AVE FL 2, LOS ANGELES, CA 90036(310) 502-8089 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 9, 2025, Aug 5, 2020 (2 updates tracked since 2020).

About Jerome Prudencio Jr. NPPES

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

JEROME PRUDENCIO JR. (NPI 1669082434) is an individual technician, other provider in Los Angeles, California and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1669082434
Entity TypeIndividualMale
Primary Taxonomy247200000X
Provider Legal NameJEROME PRUDENCIO JR.
Location Address145 S FAIRFAX AVE FL 2Los Angeles, CA 90036-2166
Mailing Address8816 La Riviera Dr Unit DSacramento, CA 95826-2075 · (310) 502-8089
Phone(310) 502-8089
Sole ProprietorNo
Enumeration DateAugust 5, 2020
Last NPPES UpdateSeptember 9, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2025
✔ NPI 1669082434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247200000X
Definition

A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

145 S FAIRFAX AVE FL 2, Los Angeles, CA 90036
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Other Providers at the Same Location NPPES 20

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

MEGAN ELIZABETH MOUNT BCBA
Behavior Analyst
145 S FAIRFAX AVE FL 2
LOS ANGELES, CA 90036
Los Angeles County (813) 257-6308
SANJUANA MUNGUIA
Behavior Analyst
145 S FAIRFAX AVE FL 2
LOS ANGELES, CA 90036
Los Angeles County (855) 832-6727
ERIN JOANN WOOD BCABA
Assistant Behavior Analyst
145 S FAIRFAX AVE FL 2
LOS ANGELES, CA 90036
Los Angeles County (855) 223-7123
BRYCE SAVOY
Assistant Behavior Analyst
145 S FAIRFAX AVE FL 2
LOS ANGELES, CA 90036
Los Angeles County (855) 832-6727
TOI GABRIELLA FINLEY
Behavior Technician
145 S FAIRFAX AVE FL 2
LOS ANGELES, CA 90036
Los Angeles County (855) 832-6727
JOCELYNE A LOEZA
Behavior Technician
145 S FAIRFAX AVE FL 2
LOS ANGELES, CA 90036
Los Angeles County (831) 747-7439
NATALIE GRIMALDI
Behavior Technician
145 S FAIRFAX AVE FL 2
LOS ANGELES, CA 90036
Los Angeles County (855) 832-6727
MAKAYLA LOFINK BCBA
Behavior Analyst
145 S FAIRFAX AVE FL 2
LOS ANGELES, CA 90036
Los Angeles County (855) 832-6727

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 Jerome Prudencio's NPI number?

The NPI number for Jerome Prudencio is 1669082434. It was assigned to this individual provider in the NPPES registry on August 5, 2020.

Where is Jerome Prudencio located?

Jerome Prudencio practices at 145 S Fairfax Ave Fl 2, Los Angeles, CA 90036. The listed phone number is (310) 502-8089.

What is Jerome Prudencio's specialty?

The primary specialty registered for this NPI is Technician, Other with taxonomy code 247200000X.

When was this NPI record last updated?

The NPPES record for Jerome Prudencio was last updated on September 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.