MEDICARE: JESSICA GRAVES

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

General Provider Information

NPI Number	:	1861960007
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA GRAVES

Provider Business Mailing Address
First Line	:	790 LENZEN AVE APT 327
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95126-2774
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	790 LENZEN AVE APT 327
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95126-2774
Country	:	US
Telephone Number	:	408-762-8632
Fax Number	:

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

Provider Enumeration Date	:	11/06/2018
Last Update Date	:	11/06/2018

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1700454725 — COMPREHENSIVE HEALTHCARE, LLC
Practice Location Address:

6155 ALMADEN EXPY STE 460
SAN JOSE, CA
95120-2774

Practice Phone: 669-400-6001
Practice Fax:

1396683298 — ANN EDELMAN
Practice Location Address:

11800 CARMEL CREEK RD APT 356
SAN DIEGO, CA
92130-2774

Practice Phone: 805-451-7892
Practice Fax:

1255631750 — RUTH EVA DURACK LPC
Practice Location Address:

307 WILLOW GROVE DR
SAN ANTONIO, TX
78245-2774

Practice Phone: 210-884-4709
Practice Fax:

1578968053 — LORI ROSCOE APRN
Practice Location Address:

1388 KETTNER BLVD UNIT 702
SAN DIEGO, CA
92101-2774

Practice Phone: 404-805-9502
Practice Fax:

1922497569 — DR. DEVIN TIMPSON PT, DPT
Practice Location Address:

3936 ALABAMA ST APT 6
SAN DIEGO, CA
92104-2774

Practice Phone: 360-580-6762
Practice Fax:

Directions to “ JESSICA GRAVES ” 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.