IndividualActive
Jesse Fullen, BCBA
NPI 1164921219 · Behavior Analyst · Huntington Beach, CA
Jesse Fullen, BCBA is a Behavior Analyst provider in Huntington Beach, CA (NPI 1164921219).
Provider details
- NPI number
- 1164921219
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Credential
- BCBA
- Sex
- Male
- Sole proprietor
- No
- License
- 1-19-36265 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% 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
18685 Main St Ste 101-459
Huntington Beach, CA 92648-1723
Phone: (714) 697-1907
Fax: (844) 904-0895
Street-level locationGet directions
Mailing address
18685 Main St Ste 101-459
Huntington Beach, CA 92648-1723
Registry dates
- Enumerated
- 2018-02-05
- Last updated
- 2021-04-06
- Certified
- 2021-04-06
Frequently asked questions
- What is Jesse Fullen's NPI number?
- Jesse Fullen's National Provider Identifier (NPI) is 1164921219, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jesse Fullen's specialty?
- Jesse Fullen is listed in the NPPES registry with a primary specialty of Behavior Analyst (Behavioral Health & Social Service Providers).
- Where is Jesse Fullen located?
- Jesse Fullen's practice location on file with NPPES is 18685 Main St Ste 101-459, Huntington Beach, CA 92648-1723.
- What is Jesse Fullen's phone number?
- The practice phone number listed in the NPPES registry for Jesse Fullen is (714) 697-1907.
- Is Jesse Fullen's NPI active?
- Yes — Jesse Fullen's NPI (1164921219) is active in the NPPES registry as of the last update on 2021-04-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.