JACKIE BERRYESSA
NPI 1841880374
Behavior Analyst in Stockton, CA

Q: What is Jackie Berryessa's NPI number?

The NPI number for Jackie Berryessa is 1841880374. It was assigned to this individual provider in the NPPES registry on January 19, 2021.

Q: What is Jackie Berryessa'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 Jackie Berryessa was last updated on February 23, 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 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: August 09, 2026.

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

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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

Phone(877) 418-2978

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

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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.

LARISSA PERRY

Behavior Technician