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

Jerry Omara

Individual provider Behavior Technician · NPI 1417794819

Jerry Omara is a Behavior Technician in Santa Rosa, California. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
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Practice location Address checks out

3400 Montgomery Dr
Santa Rosa, CA 95405-5142
Phone: (707) 526-6902
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1417794819
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 11, 2024
Last updated in NPPESNovember 12, 2024
Certification dateNovember 12, 2024

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