Individual provider · Type 1 NPI

Malie Jackson

Behavior Technician · Stockton, CA

NPI number 1114632536 Active

Practice location

4617 Quail Lakes Dr Ste 1
Stockton, CA 95207-5249

Call (714) 202-0118 Map

Mailing address

12437 Lewis St
Garden Grove, CA 92840-4673

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 1114632536

Malie Jackson's National Provider Identifier is 1114632536, issued on Jan 19, 2023. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Stockton, CA. The record was last updated on Oct 13, 2026.