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

Jack Lawrence Canady

Individual provider Behavior Technician · NPI 1730025198

Jack Lawrence Canady is a Behavior Technician in San Bernardino, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

560 E Hospitality Ln Ste 400
San Bernardino, CA 92408-3545
Phone: (909) 354-0887
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (CA)

Record details

NPI number1730025198
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 28, 2026
Last updated in NPPESMay 4, 2026
Certification dateMay 4, 2026

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