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

Edward Aaron Tackett

Individual provider Behavior Technician · NPI 1083436901

Edward Aaron Tackett is a Behavior Technician in San Diego, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

4455 Murphy Canyon Rd
San Diego, CA 92123-4379
Phone: (619) 407-7180
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 number1083436901
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 30, 2024
Last updated in NPPESJune 17, 2025
Certification dateJune 17, 2025

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