Healthcare Provider Details

I. General information

NPI: 1417316019
Provider Name (Legal Business Name): JESSICA LYNDA BARRERA GARCIA BCBA,LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/11/2016
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3785 BAKER LN
RENO NV
89509-5453
US

IV. Provider business mailing address

3785 BAKER LN
RENO NV
89509-5453
US

V. Phone/Fax

Practice location:
  • Phone: 209-505-0634
  • Fax:
Mailing address:
  • Phone: 775-560-4825
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberLBA0526
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: