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

Jerrelle Cleon Waters Jackson

Individual provider Behavior Technician · NPI 1831911742

Jerrelle Cleon Waters Jackson is a Behavior Technician in San Francisco, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

23 Harbor Rd # 23
San Francisco, CA 94124-2819
Phone: (650) 770-3917
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (CA)

Record details

NPI number1831911742
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 30, 2024
Last updated in NPPESOctober 30, 2024
Certification dateOctober 30, 2024

Other providers in San Francisco