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Deactivated NPI 1154891125 Deactivated / Inactive NPI Female Practitioner

Jazzlin Hernandez

Behavior Analyst • Long Beach, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jazzlin Hernandez has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 03, 2018
NPI Deactivation Date August 10, 2023
Total Practice Duration ~5 Years of Practice (2018 – 2023)

Professional Overview & Biography Verified Profile Summary

Jazzlin Hernandez was a registered Behavior Analyst practicing in Long Beach, CA. Throughout an active medical career spanning 5 years, Jazzlin Hernandez provided care at the practice location at 111 W OCEAN BLVD FL 4 until profile deactivation on 2023-08-10.

Practice Location & Contact Primary Location

Practice Address

111 W Ocean Blvd Fl 4

Long Beach, CA 908024633

Telephone 5622046585
Fax 8182416853
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Long Beach, CA

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

Practicing in Long Beach, 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: 2023-10-19
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License CA 12367098

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
Jamie Enns , BCBA

Behavior Analyst

NPI 1003159245

Board Certified Behavior Analyst

Nicholas Seek

Behavior Technician

NPI 1003310889
Brandon Rosser

Behavior Technician

NPI 1003316282
Asiah Fortuna

Behavior Technician

NPI 1003317959
Jokasta Saavedra

Behavior Technician

NPI 1003370156
Imani Hendrix

Behavior Technician

NPI 1003386079

Career & Practice History Timeline

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

11 Historical Events
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Updated Practice Location October 19, 2023

Registered at 111 W OCEAN BLVD FL 4, LONG BEACH, CA 908024633 (Tel: 5622046585)

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Updated Business Mailing Address October 19, 2023

Registered at 111 W OCEAN BLVD FL 4, LONG BEACH, CA 908024633 (Tel: 5622046585)

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Provider Name / Credentials Updated October 19, 2023

Recorded as JAZZLIN HERNANDEZ

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2023

Behavior Analyst (License #12367098 in CA)

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NPI Profile Deactivated August 10, 2023

Record deactivated on August 10, 2023

NPI Profile Active December 03, 2018

NPI status registered as active in NPPES database

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Updated Practice Location December 03, 2018

Registered at 25115 AVENUE STANFORD STE 100, VALENCIA, CA 913554791 (Tel: 8182416780)

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Updated Business Mailing Address December 03, 2018

Registered at 206 N JACKSON ST STE 202, GLENDALE, CA 912064330 (Tel: 8182416780)

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Provider Name / Credentials Updated December 03, 2018

Recorded as JAZZLIN HERNANDEZ

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 03, 2018

Behavior Technician

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Initial NPI Registration & Enumeration December 03, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154891125
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 03, 2018
Last Update: October 19, 2023
Deactivation Date: August 10, 2023
Sole Proprietor: No

Mailing Address

111 W Ocean Blvd Fl 4

Long Beach, CA 908024633

Phone: 5622046585

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.