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

Jessica Ly

Individual provider Behavior Technician · NPI 1407320500

Jessica Ly is a Behavior Technician in Stockton, California. Licensed in California. Registered with an NPI since 2019.

Licensed in
CA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

1811 Grand Canal Blvd Ste 2
Stockton, CA 95207-8107
Phone: (877) 418-2978
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X (CA)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1407320500
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 11, 2019
Last updated in NPPESDecember 31, 2021
Certification dateDecember 31, 2021

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