Individual provider · Type 1 NPI

Jadae Grissom

Behavior Technician · San Bernardino, CA

NPI number 1184528465 Active

Practice location

377 Northpark Blvd
San Bernardino, CA 92407-3144

Call (951) 229-1179 Map

Fax (951) 229-1179

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 1184528465

Jadae Grissom's National Provider Identifier is 1184528465, issued on Oct 8, 2026. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in San Bernardino, CA. The record was last updated on Oct 8, 2026.