Provider Demographics
NPI:1063929206
Name:RECINOS, JESSICA ASKARY (MA)
Entity type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:ASKARY
Last Name:RECINOS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2035 HURLEY WAY STE 290
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-3221
Mailing Address - Country:US
Mailing Address - Phone:916-905-1699
Mailing Address - Fax:
Practice Address - Street 1:2035 HURLEY WAY STE 290
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-3221
Practice Address - Country:US
Practice Address - Phone:916-905-1699
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-09
Last Update Date:2021-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst