JEROME ANTHONY COPPAGE JR. BCBA 1-21-55996
NPI 1780141630
Behavior Analyst in Menifee, CA

Q: What is Jerome Coppage's NPI number?

The NPI number for Jerome Coppage is 1780141630. It was assigned to this individual provider in the NPPES registry on February 27, 2019.

Q: What is Jerome Coppage'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 Jerome Coppage was last updated on January 26, 2022. 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.

Active since February 27, 2019

30073 VIA AMANTE, MENIFEE, CA 92584(619) 895-4615 Get Directions Write a Review

NPPES record last updated: January 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 26, 2022, Feb 27, 2019 (2 updates tracked since 2019).

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About Jerome Anthony Coppage Jr. Bcba 1-21-55996 NPPES

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

JEROME ANTHONY COPPAGE JR. BCBA 1-21-55996 (NPI 1780141630) is an individual behavior analyst provider in Menifee, California, licensed in California (1-21-55996) and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1780141630

Entity TypeIndividualMale

Primary Taxonomy103K00000X

Provider Legal NameJEROME ANTHONY COPPAGE JR.Credential: BCBA 1-21-55996

Location Address30073 VIA AMANTEMenifee, CA 92584-8910

Mailing Address30073 Via AmanteMenifee, CA 92584-8910 · (619) 895-4615

Phone(619) 895-4615

Sole ProprietorYes

Enumeration DateFebruary 27, 2019

Last NPPES UpdateJanuary 26, 20222 updates tracked since enumeration

NPPES CertifiedJanuary 26, 2022

✔ NPI 1780141630 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 · 1-21-55996

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 ListedBehavior TechnicianTaxonomy 106S00000X · License RBT-16-4282-36534 (CA)

30073 VIA AMANTE, Menifee, CA 92584

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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 Coppage's NPI number?

The NPI number for Jerome Coppage is 1780141630. It was assigned to this individual provider in the NPPES registry on February 27, 2019.

Where is Jerome Coppage located?

Jerome Coppage practices at 30073 Via Amante, Menifee, CA 92584. The listed phone number is (619) 895-4615.

What is Jerome Coppage'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 Jerome Coppage was last updated on January 26, 2022. 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.