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JESSICA DIMARUCUT BCBA NPI 1407342819


NPI Information

NPI: 1407342819
Provider Name: JESSICA DIMARUCUT, BCBA
Classification: Behavior Analyst - 103K00000X
Entity Type: Individual
Address:
1335 N DUTTON AVE
SANTA ROSA, CA
ZIP 95401
Phone: (855) 223-7123
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Jessica Dimarucut, BCBA is a behavior analyst in Santa Rosa, CA. The provider is 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. Jessica Dimarucut, BCBA NPI is 1407342819. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1335 N DUTTON AVE
SANTA ROSA, CA
ZIP 95401-609
Phone: (855) 223-7123
Fax: (408) 216-0125

The enumeration date for this NPI number is 7/9/2018 and was last updated on 7/9/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103K00000XBehavior Analyst1-18-31357CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.