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

Jacqueline Cottom

Individual provider Behavior Analyst · NPI 1356957088

Jacqueline Cottom is a Behavior Analyst in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020
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Practice location Address checks out

1362 S Longwood Ave Apt 4
Los Angeles, CA 90019-2958
Phone: (310) 694-4111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-20-44221 (CA)

Record details

NPI number1356957088
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 18, 2020
Last updated in NPPESSeptember 23, 2020
Certification dateSeptember 23, 2020
Mailing address1362 S Longwood Ave Apt 4, Los Angeles, CA 90019-2958

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