MEDICARE: JONATHAN BIGGS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician		CA

General Provider Information

NPI Number	:	1538006713
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JONATHAN BIGGS

Provider Business Mailing Address
First Line	:	10801 HARTSOOK ST
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91601-3915
Country	:	US
Telephone Number	:	518-894-4848
Fax Number	:

Provider Business Practice Location Address
First Line	:	10801 HARTSOOK ST
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91601-3915
Country	:	US
Telephone Number	:	518-894-4848
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2026
Last Update Date	:	05/04/2026

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