Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacqueline Buzanis

Individual provider Behavior Technician · NPI 1730813361

Jacqueline Buzanis is a Behavior Technician in LA Mesa, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022

Practice location Address checks out

4700 Spring St Ste 300
LA Mesa, CA 91942-0274
Phone: (619) 782-0700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-22-221034 (CA)

Record details

NPI number1730813361
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 11, 2022
Last updated in NPPESJuly 11, 2022
Certification dateJuly 11, 2022
Mailing address8030 La Mesa Blvd, La Mesa, CA 91942-0335

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