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

Jacob Marshall Pulliam

Individual provider Behavior Technician · NPI 1659299980

Jacob Marshall Pulliam is a Behavior Technician in Granite Bay, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

4196 Douglas Blvd Ste 100
Granite Bay, CA 95746-5904
Phone: (916) 489-1376
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 number1659299980
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 6, 2026
Last updated in NPPESJuly 6, 2026
Certification dateJuly 6, 2026
Mailing address300 International Pkwy Ste 200, Lake Mary, FL 32746-5028

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