Individual provider · Type 1 NPI

Jessica Dimarucut, BCBA

Behavior Analyst · Santa Rosa, CA

NPI number 1407342819 Active

Practice location

1335 N Dutton Ave
Santa Rosa, CA 95401-4609

Call (855) 223-7123 Map

Fax (408) 216-0125

Mailing address

16782 Von Karman Ave Ste 11
Irvine, CA 92606-2417

Specialties and licenses

Taxonomy	Code	License
Behavior Analyst Primary	103K00000X	1-18-31357 (CA)

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 1407342819

Jessica Dimarucut, BCBA's National Provider Identifier is 1407342819, issued on Jul 9, 2018. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Santa Rosa, CA. The record was last updated on Jul 9, 2018.