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

Jevon (J L ) Lathan McKinnon

Individual provider Behavior Technician · NPI 1760290191

Jevon (J L ) Lathan McKinnon is a Behavior Technician in San Mateo, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

424 Peninsula Ave
San Mateo, CA 94401-1653
Phone: (650) 286-4396
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 106S00000X (CA)

Record details

NPI number1760290191
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 18, 2024
Last updated in NPPESDecember 18, 2024
Certification dateDecember 18, 2024

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