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

Jack Petrin

Individual provider Behavior Technician · NPI 1164177036

Jack Petrin is a Behavior Technician in Dublin, California. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

5601 Arnold Rd Fl 100
Dublin, CA 94568-7726
Phone: (925) 833-7789
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 number1164177036
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 18, 2022
Last updated in NPPESFebruary 18, 2022
Certification dateFebruary 18, 2022
Mailing addressPo Box 5157, Modesto, CA 95352-5157

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