JACKIE BERRYESSA
NPI 1841880374
Behavior Analyst in Stockton, CA

Active since January 19, 2021
1811 GRAND CANAL BLVD, STOCKTON, CA 95207(877) 418-2978 Get Directions Write a Review

NPPES record last updated: February 23, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 23, 2021, Jan 19, 2021 (2 updates tracked since 2021).

About Jackie Berryessa NPPES

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

JACKIE BERRYESSA (NPI 1841880374) is an individual behavior analyst provider in Stockton, California and active in the NPI registry since January 2021. She maintains a secondary practice location in Pleasanton.

NPPES Registry Identity

NPI1841880374
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameJACKIE BERRYESSA
Location Address1811 GRAND CANAL BLVDStockton, CA 95207-8107
Mailing Address500 Fairway Dr Ste 102Deerfield Beach, FL 33441-1817 · (877) 418-2978 · Fax (866) 500-2186
Sole ProprietorNo
Enumeration DateJanuary 19, 2021
Last NPPES UpdateFebruary 23, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2021
NPI 1841880374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
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
1811 GRAND CANAL BLVD, Stockton, CA 95207

Secondary Practice Location 1

Location 15820 Stoneridge Mall Rd Ste 205Pleasanton, CA 94588-3347 · Phone (877) 418-2978

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.

Behavior Analyst
1811 GRAND CANAL BLVD
STOCKTON, CA 95207
Behavior Technician
1811 GRAND CANAL BLVD
STOCKTON, CA 95207
Behavior Technician
1811 GRAND CANAL BLVD
STOCKTON, CA 95207
Behavior Technician
1811 GRAND CANAL BLVD
STOCKTON, CA 95207
Behavior Technician
1811 GRAND CANAL BLVD
STOCKTON, CA 95207
Behavior Technician
1811 GRAND CANAL BLVD
STOCKTON, CA 95207
Behavior Technician
1811 GRAND CANAL BLVD
STOCKTON, CA 95207
Behavior Technician
1811 GRAND CANAL BLVD
STOCKTON, CA 95207

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1841880374, enumerated as an "individual" on January 19, 2021.

The provider is located at 1811 GRAND CANAL BLVD STOCKTON, CA 95207 and the phone number is (877) 418-2978.

Behavior Analyst with taxonomy code 103K00000X.