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

Jackie Berryessa

Individual provider Behavior Technician · NPI 1841880374

Jackie Berryessa is a Behavior Technician in Stockton, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2021
Specialties on file
2

Practice location Address checks out

1811 Grand Canal Blvd
Stockton, CA 95207-8107
Phone: (877) 418-2978
Show map & directions

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

Additional practice locations (1)

  • 5820 Stoneridge Mall Rd Ste 205, Pleasanton, CA 94588-3347 — (877) 418-2978

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X (CA)
Behavior Technician Taxonomy 106S00000X (CA)

Record details

NPI number1841880374
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 19, 2021
Last updated in NPPESFebruary 23, 2021
Certification dateFebruary 23, 2021
Mailing address500 Fairway Dr Ste 102, Deerfield Beach, FL 33441-1817

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