Individual provider · Type 1 NPI

Jack Henry Paddock

Behavior Technician · Louisville, KY

NPI number 1265392401 Active

Practice location

1169 Eastern Pkwy Ste G111
Louisville, KY 40217-1462

Call (502) 242-9091 Map

Mailing address

996 Royal Marco Way
Marco Island, FL 34145-1829

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 1265392401

Jack Henry Paddock's National Provider Identifier is 1265392401, issued on Nov 12, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Louisville, KY. The record was last updated on Nov 12, 2025.