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

John Layton Theobald

Individual provider Behavior Technician · NPI 1790656494

John Layton Theobald is a Behavior Technician in Surprise, Arizona. Licensed in Arizona. Registered with an NPI since 2025.

Licensed in
AZ
In the registry since
2025

Practice location Address checks out

15116 N Cotton Ln
Surprise, AZ 85388-9618
Phone: (623) 322-8250
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 (AZ)

Record details

NPI number1790656494
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 16, 2025
Last updated in NPPESSeptember 16, 2025
Certification dateSeptember 15, 2025
Mailing address15190 N Cotton Ln, Surprise, AZ 85388-9618

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