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

Jack Bennett Bush

Individual provider Behavior Technician · NPI 1972188225

Jack Bennett Bush is a Behavior Technician in Madera, California. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

1915 Howard Rd Ste B&c
Madera, CA 93637-5163
Phone: (559) 330-2211
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 number1972188225
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 17, 2021
Last updated in NPPESMarch 17, 2021
Certification dateMarch 17, 2021
Mailing address21600 Oxnard St Ste 1800, Woodland Hills, CA 91367-7807

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