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NPI Code Detail

MEDICARE: JESSICA ROSAS

MEDICARE: JESSICA ROSAS
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1972453447
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA ROSAS
Provider Business Mailing Address
First Line : 400 CONCAR DR STE 4-134
Second Line :
City : SAN MATEO
State : CA
Zip : 94402-2681
Country : US
Telephone Number : 650-931-6300
Fax Number :
Provider Business Practice Location Address
First Line : 400 CONCAR DR STE 4-134
Second Line :
City : SAN MATEO
State : CA
Zip : 94402-2681
Country : US
Telephone Number : 650-931-6300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2026
Last Update Date : 02/02/2026

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Directions to “ JESSICA ROSAS ” Practice Location

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