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

Ciarra Monique Fackender

Individual provider Behavior Technician · NPI 1376413484

Ciarra Monique Fackender is a Behavior Technician in Stockton, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

2453 Grand Canal Blvd Ste A
Stockton, CA 95207-8138
Phone: (855) 223-7123
Fax: (619) 374-7134
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1376413484
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedNovember 5, 2025
Last updated in NPPESNovember 5, 2025
Certification dateNovember 5, 2025

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