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

Jack Ascencio

Individual provider Behavior Technician · NPI 1700750510

Jack Ascencio is a Behavior Technician in Riverside, California. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

19318 Jesse Ln
Riverside, CA 92508-5090
Phone: (951) 900-7411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1700750510
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 3, 2025
Last updated in NPPESOctober 3, 2025
Certification dateOctober 3, 2025
Mailing address19318 Jesse Ln, Riverside, CA 92508-5090

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