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

Jacob Luke Johnson

Individual provider Behavior Technician · NPI 1750998613

Jacob Luke Johnson is a Behavior Technician in Costa Mesa, California. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

1520 Nutmeg Pl Ste 110
Costa Mesa, CA 92626-2557
Phone: (818) 241-6780
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 number1750998613
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 24, 2020
Last updated in NPPESSeptember 24, 2020
Certification dateSeptember 24, 2020
Mailing address1055 E Colorado Blvd Ste 560, Pasadena, CA 91106-2380

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