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

Jenelyn Balleta

Individual provider Behavior Technician · NPI 1104783802

Jenelyn Balleta is a Behavior Technician in Gardena, California. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

1149 W 190th St Ste 2200
Gardena, CA 90248-4344
Phone: (310) 856-0800
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1104783802
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedJanuary 6, 2026
Last updated in NPPESJanuary 6, 2026
Certification dateJanuary 6, 2026
Mailing address100 N Pacific Coast Hwy Ste 1400, El Segundo, CA 90245-5602

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