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

Jesica Van Groos

Individual provider Behavior Technician · NPI 1922786219

Jesica Van Groos is a Behavior Technician in Petaluma, California. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1425 N McDowell Blvd Ste 206
Petaluma, CA 94954-6525
Phone: (855) 223-7123
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 number1922786219
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 7, 2023
Last updated in NPPESJuly 7, 2023
Certification dateJuly 7, 2023
Mailing addressPo Box 33568, San Diego, CA 92163-3568

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