Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1619639952 Deactivated / Inactive NPI Female Practitioner

Jennaszie Lavonne Bustos

Behavior Technician • Concord, CA

⚠️

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, Jennaszie Bustos has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 13, 2021
NPI Deactivation Date March 11, 2022
Total Practice Duration ~1 Years of Practice (2021 – 2022)

Professional Overview & Biography Verified Profile Summary

Jennaszie Bustos was a registered Behavior Technician practicing in Concord, CA. Throughout an active medical career spanning 1 years, Jennaszie Bustos provided care at the practice location at 1200 CONCORD AVE STE 100 until profile deactivation on 2022-03-11.

Practice Location & Contact Primary Location

Practice Address

1200 Concord Ave Ste 100

Concord, CA 945204969

Telephone 8779106538
Fax 5103731738
Associated Practice Facility / Clinic
🏢 Center For Social Dynamics Facility NPI 1447981550

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Concord, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 4.0 Yrs
State Avg: 5.0 Yrs
Regional Practice Density
6308 Specialists

Practicing in Concord, CA (172337 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: 2026-04-09
Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Secondary Practice Locations

2900 E. Broadway Blvd. Ste 100 #1206

Tuscon, AZ 857165344

Phone: 8662732451

186 E Sheldon St # 1119

Prescott, AZ 863013114

Phone: 8662732451

2350 W Highway 89a # 1047

Sedona, AZ 863365344

Phone: 8662732451

2301 E 20th St

Farmington, NM 874018905

Phone: 8662732451

950 W Aztec Ave

Gallup, NM 873016666

Phone: 8662732451

301 N Canyon St

Carlsbad, NM 882205809

Phone: 8662732451

201 N 4th St

Artesia, NM 882102168

Phone: 8662732451

100 Gossett Dr Ste B

Aztec, NM 874104529

Phone: 8662732451

500 N Hudson St

Silver City, NM 880615435

Phone: 8662732451

1408 8th St

Alamogordo, NM 883105115

Phone: 8662732451

221 N Kansas St Ste 700

El Paso, TX 799011444

Phone: 8662732451

2705 S Alma School Rd Ste 2

Chandler, AZ 852864400

Phone: 8662732451

21168 E Ocotillo Rd # 1078

Queen Creek, AZ 851428175

Phone: 8662732451

809 W. Riordan Rd. Ste 100, Pmb 1113

Flagstaff, AZ 860010810

Phone: 8662732451

201 E Las Cruces Ave Ste 1501

Las Cruces, NM 880013488

Phone: 8662732451

1012 Marquez Pl Unit 106b

Santa Fe, NM 875051833

Phone: 8662732451

115 E College Blvd

Roswell, NM 882015158

Phone: 8662732451

6565 Americas Pkwy Ne Ste 200

Albuquerque, NM 871108172

Phone: 8662732451

1224 W 21st St

Clovis, NM 881014199

Phone: 8662732451

Practice Associates & Co-Workers

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

40 Associated Practitioners
Leinalyn Manong

Behavior Technician

NPI 1003676784
Aliyah George

Behavior Technician

NPI 1003768409
Shaine Ann Robinson

Behavior Technician

NPI 1023776606
NPI 1023780145

Bachelor of Arts

Leonard Chit Leung Har

Behavior Technician

NPI 1023791423
Reon Vincent Perez

Behavior Technician

NPI 1023804549

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location September 12, 2023

Registered at 1200 CONCORD AVE STE 100, CONCORD, CA 945204969 (Tel: 5102688120)

📍
Updated Business Mailing Address September 12, 2023

Registered at 1200 CONCORD AVE STE 100, CONCORD, CA 945204969 (Tel: 1026881205)

👤
Provider Name / Credentials Updated September 12, 2023

Recorded as JENNASZIE BUSTOS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2023

Behavior Technician

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NPI Profile Deactivated March 11, 2022

Record deactivated on March 11, 2022

NPI Profile Active October 13, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location October 13, 2021

Registered at 1405 COMMERCIAL WAY STE 120, BAKERSFIELD, CA 933090626 (Tel: 8552237123)

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Updated Business Mailing Address October 13, 2021

Registered at 16782 VON KARMAN AVE STE 11, IRVINE, CA 926062417 (Tel: 8552237123)

👤
Provider Name / Credentials Updated October 13, 2021

Recorded as JENNASZIE BUSTOS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2021

Behavior Technician

🟢
Initial NPI Registration & Enumeration October 13, 2021

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: 1619639952
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 13, 2021
Last Update: April 09, 2026
Deactivation Date: March 11, 2022
Sole Proprietor: No

Mailing Address

1200 Concord Ave Ste 100

Concord, CA 945204969

Phone: 8779106538

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.