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

Jake M Otjen

Individual provider Behavior Technician · NPI 1679221576

Jake M Otjen is a Behavior Technician in Temecula, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022

Practice location Address checks out

41769 Enterprise Cir N Ste A-101
Temecula, CA 92590-5626
Phone: (951) 719-3738
Fax: (951) 719-3731
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-22-206080 (CA)

Record details

NPI number1679221576
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 10, 2022
Last updated in NPPESMarch 10, 2022
Certification dateMarch 10, 2022
Mailing address41769 Enterprise Cir N Ste A-101, Temecula, CA 92590-5626

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