MEDICARE: JESSICA URRUTIA

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	103K00000X	Behavior Analyst	1-15-19655	CA
2	103K00000X	Behavior Analyst	BA-678	HI
3	103K00000X	Behavior Analyst	1179	NC

General Provider Information

NPI Number	:	1750755948
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA URRUTIA

Provider Business Mailing Address
First Line	:	PO BOX 740780
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-0780
Country	:	US
Telephone Number	:	855-223-7123
Fax Number	:	619-374-7134

Provider Business Practice Location Address
First Line	:	3604B FAIR OAKS BLVD
Second Line	:	STE 200
City	:	SACRAMENTO
State	:	CA
Zip	:	95864
Country	:	US
Telephone Number	:	855-223-7123
Fax Number	:	619-374-7134

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

Provider Enumeration Date	:	11/25/2015
Last Update Date	:	02/17/2026

Similar Medicare Providers

1558215095 — AMANDA REESE
Practice Location Address:

704 LA LEITA CIR
SACRAMENTO, CA
95864-7224

Practice Phone: 916-293-2478
Practice Fax:

1689528754 — VANESSA TRAN
Practice Location Address:

3604 FAIR OAKS BLVD STE 200
SACRAMENTO, CA
95864-7256

Practice Phone: 855-223-7123
Practice Fax:

1043164171 — CIRCA WOMEN A CALIFORNIA PROFESSION AL MEDICAL CORPORATION
Practice Location Address:

3426 AMERICAN RIVER DR STE B
SACRAMENTO, CA
95864-5755

Practice Phone: 650-353-8931
Practice Fax: 650-353-8931

1598619652 — GABRIEL CONLEY
Practice Location Address:

3604 FAIR OAKS BLVD STE 200
SACRAMENTO, CA
95864-7256

Practice Phone: 855-223-7123
Practice Fax: 619-374-7134

1841568250 — DAVID ALFONSO HERNANDEZ B.A, A.A
Practice Location Address:

591 WATT AVE , SUITE 120
SACRAMENTO, CA
95864

Practice Phone: 916-448-2050
Practice Fax:

1033061445 — ANJALI GOSAI
Practice Location Address:

591 WATT AVE STE 120
SACRAMENTO, CA
95864-5027

Practice Phone: 916-448-2050
Practice Fax: 916-448-2050

Directions to “ JESSICA URRUTIA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.