Individual provider · Type 1 NPI

Jenna Jackson

Behavior Technician · Santa Rosa, CA

NPI number 1053250563 Active

Practice location

4415 Sonoma Hwy Ste B
Santa Rosa, CA 95409-4165

Call (707) 581-1995 Map

Mailing address

528 Los Arboles Way
Santa Rosa, CA 95403-1392

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XNone listed

Behavior Technician: The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That…

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About NPI 1053250563

Jenna Jackson's National Provider Identifier is 1053250563, issued on Mar 27, 2026. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Santa Rosa, CA. The record was last updated on Mar 27, 2026.