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

Maryellie Jacquez

Individual provider Behavior Analyst · NPI 1124519335

Maryellie Jacquez is a Behavior Analyst in Colton, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018
Specialties on file
2

Practice location Address checks out

301 S La Cadena Dr
Colton, CA 92324-3419
Phone: (909) 219-5260
Fax: (909) 264-3728
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence D5897194 (CA)
Community Health Worker Taxonomy 172V00000X (CA)

Record details

NPI number1124519335
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 23, 2018
Last updated in NPPESDecember 5, 2025
Certification dateDecember 5, 2025

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