Individual provider · Type 1 NPI

Maryellie Jacquez

Behavior Analyst · Colton, CA

NPI number 1124519335 Active

Practice location

301 S La Cadena Dr
Colton, CA 92324-3419

Call (909) 219-5260 Map

Fax (909) 264-3728

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000XD5897194 (CA)
Community Health Worker 172V00000XNone listed

Behavior Analyst: 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…

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About NPI 1124519335

Maryellie Jacquez's National Provider Identifier is 1124519335, issued on May 23, 2018. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Colton, CA. The record was last updated on Dec 5, 2025.