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

Mr. Glenn Jackson Jr.

Individual provider Behavior Technician · NPI 1831720093

Mr. Glenn Jackson Jr. is a Behavior Technician in Los Angeles, California. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

6767 Forest Lawn Dr Ste 100
Los Angeles, CA 90068-1027
Phone: (310) 374-3300
Fax: (310) 374-3307
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 number1831720093
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 27, 2020
Last updated in NPPESApril 21, 2026
Certification dateApril 21, 2026

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