Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jerome Anthony Coppage Jr., BCBA, 1-21-55996

Individual provider Behavior Technician · NPI 1780141630

Jerome Anthony Coppage Jr., BCBA, 1-21-55996 is a Behavior Technician in Menifee, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019
Specialties on file
3
What do these letters mean?
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

30073 Via Amante
Menifee, CA 92584-8910
Phone: (619) 895-4615
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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 1-21-55996 (CA)
Behavior Technician Taxonomy 106S00000X · Licence RBT-16-4282-36534 (CA)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1780141630
Entity typeIndividual (Type 1)
GenderMale
Credentials BCBA , 1-21-55996
Sole proprietorYes
NPI enumeratedFebruary 27, 2019
Last updated in NPPESJanuary 26, 2022
Certification dateJanuary 26, 2022

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