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

Jacob Axelrad

Individual provider Behavior Technician · NPI 1770463804

Jacob Axelrad is a Behavior Technician in Garden Grove, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

12395 Lewis St Ste 102
Garden Grove, CA 92840-4698
Phone: (760) 634-1125
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 number1770463804
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 8, 2025
Last updated in NPPESSeptember 8, 2025
Certification dateSeptember 8, 2025
Mailing address555 N Commonwealth Ave, Fullerton, CA 92831-3602

Other providers in Garden Grove