MEDICARE: JESSICA NUNEZ

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	106S00000X	Behavior Technician
2	172V00000X	Community Health Worker
3	373H00000X	Day Training/Habilitation Specialist

General Provider Information

NPI Number	:	1780351387
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA NUNEZ

Provider Business Mailing Address
First Line	:	1501 MARIPOSA ST STE 312
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94107-2367
Country	:	US
Telephone Number	:	650-260-4670
Fax Number	:

Provider Business Practice Location Address
First Line	:	1501 MARIPOSA ST STE 312
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94107-2367
Country	:	US
Telephone Number	:	650-260-4670
Fax Number	:

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

Provider Enumeration Date	:	08/23/2021
Last Update Date	:	04/28/2025

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Directions to “ JESSICA NUNEZ ” Practice Location

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