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

Jack Robert Anthony

Individual provider Behavior Technician · NPI 1841170248

Jack Robert Anthony is a Behavior Technician in Petaluma, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1425 N McDowell Blvd Ste 206
Petaluma, CA 94954-6525
Phone: (855) 223-7123
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 number1841170248
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 5, 2025
Last updated in NPPESSeptember 5, 2025
Certification dateSeptember 5, 2025
Mailing addressPo Box 33568, San Diego, CA 92163-3568

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