IndividualActive
Jessica Grose
NPI 1104383793 · Behavior Technician · San Diego, CA
Provider details
- NPI number
- 1104383793
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9620 Chesapeake Dr Ste 105
San Diego, CA 92123-1324
Phone: (858) 505-9083
Street-level locationGet directions
Mailing address
401 S Ivy St
Escondido, CA 92025-4339
Registry dates
- Enumerated
- 2019-03-01
- Last updated
- 2021-02-12
- Certified
- 2021-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.