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

Dontell Jackson

Individual provider Behavior Technician · NPI 1407722994

Dontell Jackson is a Behavior Technician in San Bruno, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

901 Sneath Ln Ste 105
San Bruno, CA 94066-2415
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 number1407722994
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 13, 2025
Last updated in NPPESOctober 13, 2025
Certification dateOctober 13, 2025
Mailing addressPo Box 33568, San Diego, CA 92163-3568

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