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

Jacob Stidham

Individual provider Behavior Technician · NPI 1851921688

Jacob Stidham is a Behavior Technician in Lakewood, California. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

5834 Adenmoor Ave
Lakewood, CA 90713-1002
Phone: (303) 989-8169
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 number1851921688
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 21, 2020
Last updated in NPPESJanuary 21, 2020
Certification dateJanuary 21, 2020

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