What is Jacqueline Licea's NPI number?

Jacqueline Licea's National Provider Identifier (NPI) is 1922967900, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jacqueline Licea's specialty?

Jacqueline Licea is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).

Where is Jacqueline Licea located?

Jacqueline Licea's practice location on file with NPPES is 39210 State Street, Suite #100, Fremont, CA 94538.

What is Jacqueline Licea's phone number?

The practice phone number listed in the NPPES registry for Jacqueline Licea is (510) 439-0657.

Is Jacqueline Licea's NPI active?

Yes — Jacqueline Licea's NPI (1922967900) is active in the NPPES registry as of the last update on 2026-01-16.

IndividualActive

Jacqueline Licea

NPI 1922967900 · Behavior Technician · Fremont, CA

Jacqueline Licea is a Behavior Technician provider in Fremont, CA (NPI 1922967900).

Provider details

NPI number: 1922967900
Entity type: Individual
Primary specialty: Behavior TechnicianBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Behavior TechnicianPrimary106S00000X
Behavioral Health & Social Service Providers

Profile Score

Basic profile(47/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in 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

39210 State Street, Suite #100

Fremont, CA 94538

Phone: (510) 439-0657

Fax: (510) 439-0658

Approximate (ZIP-level) locationGet directions

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Mailing address