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

Jacob Robert Boucher

Individual provider Behavior Technician · NPI 1306499967

Jacob Robert Boucher is a Behavior Technician in Fresno, California. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

7339 N 1st St Ste 110
Fresno, CA 93720-2954
Phone: (916) 729-3098
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 number1306499967
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 22, 2019
Last updated in NPPESJuly 22, 2019
Mailing address4885 N Winery Cir Apt 106, Fresno, CA 93726-1500

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