Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1932761442 Individual Practitioner Female Practitioner

Jessica Lyn Costello

Behavior Analyst • Gardena, CA

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Jessica Costello is a registered healthcare professional specializing in Behavior Analyst in Gardena, CA. Official NPI practice address is registered at 879 W 190TH ST STE 1000.

Practice Location & Contact Primary Location

Practice Address

879 W 190th St Ste 1000

Gardena, CA 902484255

Telephone 3103299115
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Gardena, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.8 Yrs
Regional Practice Density
269 Specialists

Practicing in Gardena, CA (20508 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-12-01
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License CA 12474719

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
William Vasquez

Behavior Technician

NPI 1003626250
Nmesomachi Nwoko

Behavior Technician

NPI 1043045438
Samantha Mendoza

Behavior Technician

NPI 1043108889
Ana Ruiz

Behavior Technician

NPI 1053109181
Stephanie Rabuya

Behavior Technician

NPI 1053271668
Shahrzad Arvari

Behavior Technician

NPI 1063278448

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location December 01, 2025

Registered at 879 W 190TH ST STE 1000, GARDENA, CA 902484255 (Tel: 3103299115)

📍
Updated Business Mailing Address December 01, 2025

Registered at 1708 CAMINO DE LA COSTA APT 1, REDONDO BEACH, CA 902775409 (Tel: 3103184355)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2025

Behavior Analyst (License #12474719 in CA)

📍
Updated Business Mailing Address December 23, 2024

Registered at 1513 DEL AMO BLVD APT 3, TORRANCE, CA 905011635 (Tel: 3103184355)

📍
Updated Practice Location May 08, 2023

Registered at 1513 DEL AMO BLVD APT 3, TORRANCE, CA 905011635 (Tel: 3103184355)

📍
Updated Business Mailing Address May 08, 2023

Registered at 1513 DEL AMO BLVD, TORRANCE, CA 905011635 (Tel: 3103184355)

NPI Profile Active July 03, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location July 03, 2019

Registered at 21023 AMIE AVE, TORRANCE, CA 905034747 (Tel: 3108961776)

📍
Updated Business Mailing Address July 03, 2019

Registered at 16500 VENTURA BLVD STE 414, ENCINO, CA 914365050

👤
Provider Name / Credentials Updated July 03, 2019

Recorded as JESSICA COSTELLO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2019

Behavior Technician

🟢
Initial NPI Registration & Enumeration July 03, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1932761442
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 03, 2019
Last Update: December 01, 2025
Sole Proprietor: Yes

Mailing Address

1708 Camino De La Costa Apt 1

Redondo Beach, CA 902775409

Phone: 3103184355

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.