JACQUELINE RAE CAMPOS MA
NPI 1770168007
Assistant Behavior Analyst in Northridge, CA

Q: What is Jacqueline Campos's NPI number?

The NPI number for Jacqueline Campos is 1770168007. It was assigned to this individual provider in the NPPES registry on March 17, 2021. The provider is also known as Jacqueline Rae Gutierrez Ma.

Q: What is Jacqueline Campos's specialty?

The primary specialty registered for this NPI is Assistant Behavior Analyst with taxonomy code 106E00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Campos was last updated on March 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 17, 2021

18860 NORDHOFF ST, NORTHRIDGE, CA 91324(714) 856-8785 Get Directions Write a Review

NPPES record last updated: March 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Jacqueline Rae Campos Ma NPPES

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

JACQUELINE RAE CAMPOS MA (NPI 1770168007) is an individual assistant behavior analyst provider in Northridge, California and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1770168007

Entity TypeIndividualFemale

Primary Taxonomy106E00000X

Provider Legal NameJACQUELINE RAE CAMPOSCredential: MA

Location Address18860 NORDHOFF STNorthridge, CA 91324-3811

Mailing Address18860 Nordhoff StNorthridge, CA 91324-3811 · (714) 856-8785

Phone(714) 856-8785

Sole ProprietorNo

Enumeration DateMarch 17, 2021

NPPES CertifiedMarch 17, 2021

✔ NPI 1770168007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssistant Behavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code106E00000X

Definition

An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans.

18860 NORDHOFF ST, Northridge, CA 91324

Open in Google Maps ↗

Other Names 1

Former Name (1)Jacqueline Rae Gutierrez Ma

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.

KRISTIE SUSANA STRICKLER

Behavior Technician