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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1396423661

Jessica Lara is a Student in an Organized Health Care Education/Training Program in Santa Ana, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

405 W 5th St
Santa Ana, CA 92701-4599
Phone: (714) 343-2722
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (CA)

Record details

NPI number1396423661
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 7, 2023
Last updated in NPPESOctober 3, 2025
Certification dateOctober 3, 2025

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