Jerome Anthony Coppage Jr., BCBA 1-21-55996
NPI 1780141630ActiveIndividual· Behavior Analyst· Menifee, CA
Behavior Analyst (BCBA 1-21-55996) in Menifee, California, licensed in CA, with an NPI issued in February 2019.
Overview
| NPI | 1780141630 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | BCBA 1-21-55996 |
| Sole proprietor | Yes |
| NPI issued | Feb 27, 2019 |
| Last updated in NPPES | Jan 26, 2022 |
| Certified by provider | Jan 26, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X | 1-21-55996 | CA |
| Behavior Technician | 106S00000X | RBT-16-4282-36534 | CA |
| Behavior Technician | 106S00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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