IndividualActive
Jurisa Prom
NPI 1629739164 · Behavior Technician · Gilroy, CA
Jurisa Prom is a Behavior Technician provider in Gilroy, CA (NPI 1629739164).
Provider details
- NPI number
- 1629739164
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(55/100 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
7500 Arroyo Cir Ste 180
Gilroy, CA 95020-7339
Phone: (408) 859-6522
Street-level locationGet directions
Mailing address
3482 Tokay Way
San Jose, CA 95148-1336
Registry dates
- Enumerated
- 2022-01-06
- Last updated
- 2022-01-06
- Certified
- 2022-01-06
Frequently asked questions
- What is Jurisa Prom's NPI number?
- Jurisa Prom's National Provider Identifier (NPI) is 1629739164, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jurisa Prom's specialty?
- Jurisa Prom is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Jurisa Prom located?
- Jurisa Prom's practice location on file with NPPES is 7500 Arroyo Cir Ste 180, Gilroy, CA 95020-7339.
- What is Jurisa Prom's phone number?
- The practice phone number listed in the NPPES registry for Jurisa Prom is (408) 859-6522.
- Is Jurisa Prom's NPI active?
- Yes — Jurisa Prom's NPI (1629739164) is active in the NPPES registry as of the last update on 2022-01-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.