MEDICARE: MR. JESSE CATALINO OCEGUEDA

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		CA

General Provider Information

NPI Number	:	1821652728
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JESSE CATALINO OCEGUEDA

Provider Business Mailing Address
First Line	:	13826 HUMMINGBIRD WAY
Second Line	:
City	:	RANCHO CUCAMONGA
State	:	CA
Zip	:	91739-5991
Country	:	US
Telephone Number	:	909-251-3619
Fax Number	:

Provider Business Practice Location Address
First Line	:	13826 HUMMINGBIRD WAY
Second Line	:
City	:	RANCHO CUCAMONGA
State	:	CA
Zip	:	91739-5991
Country	:	US
Telephone Number	:	909-251-3619
Fax Number	:

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

Provider Enumeration Date	:	04/25/2019
Last Update Date	:	01/20/2026

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