IndividualActive
Jazzmine Pettis
NPI 1619620432 · Behavior Technician · Victorville, CA
Jazzmine Pettis is a Behavior Technician provider in Victorville, CA (NPI 1619620432).
Provider details
- NPI number
- 1619620432
- 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(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
15490 Civic Dr Ste 103
Victorville, CA 92392-2382
Phone: (442) 327-9172
Approximate (ZIP-level) locationGet directions
Mailing address
14643 Green River Rd
Victorville, CA 92394-6919
Registry dates
- Enumerated
- 2022-02-01
- Last updated
- 2022-02-01
- Certified
- 2022-02-01
Frequently asked questions
- What is Jazzmine Pettis's NPI number?
- Jazzmine Pettis's National Provider Identifier (NPI) is 1619620432, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jazzmine Pettis's specialty?
- Jazzmine Pettis is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Jazzmine Pettis located?
- Jazzmine Pettis's practice location on file with NPPES is 15490 Civic Dr Ste 103, Victorville, CA 92392-2382.
- What is Jazzmine Pettis's phone number?
- The practice phone number listed in the NPPES registry for Jazzmine Pettis is (442) 327-9172.
- Is Jazzmine Pettis's NPI active?
- Yes — Jazzmine Pettis's NPI (1619620432) is active in the NPPES registry as of the last update on 2022-02-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.