Jacob Jackson

Behavior Technician · South Jordan, UT

Individual Active NPI

NPI number 1649148727

Practice location

11240 S River Heights Dr Ste 110
South Jordan, UT 84095-5106
Phone
(801) 935-4171

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NPI record

NPI
1649148727
Entity type
Individual (Type 1)
Enumeration date
October 29, 2025
Last updated
October 29, 2025
Certified
October 29, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — UT

Mailing address

16255 Ventura Blvd Ste 900
Encino, CA 91436-2317

About Jacob Jackson

Jacob Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 11240 S River Heights Dr Ste 110, South Jordan, UT 84095-5106. The NPI number 1649148727 was assigned on October 29, 2025 and the record was last updated on October 29, 2025.

Frequently asked questions

What is the NPI number of Jacob Jackson?

The NPI number is 1649148727.

What is the phone number of Jacob Jackson?

The phone number listed for the practice location is (801) 935-4171.

Where is Jacob Jackson located?

11240 S River Heights Dr Ste 110, South Jordan, UT 84095-5106.

What is the taxonomy code for Jacob Jackson?

The primary taxonomy code is 106S00000X – Behavior Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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