Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bruce Jackson III

Individual provider Behavior Technician · NPI 1376416594

Bruce Jackson III is a Behavior Technician in San Antonio, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2025
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Practice location Address checks out

21727 W Interstate 10 Ste 108
San Antonio, TX 78257-2108
Phone: (210) 455-1091
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 25-470268 (TX)

Record details

NPI number1376416594
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 24, 2025
Last updated in NPPESSeptember 24, 2025
Certification dateSeptember 24, 2025

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