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

Mr. Jack H Holloway

Individual provider Behavior Technician · NPI 1669168332

Mr. Jack H Holloway is a Behavior Technician in Menifee, California. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

31610 Tramore Cir
Menifee, CA 92584-5003
Phone: (360) 624-8019
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 number1669168332
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 14, 2023
Last updated in NPPESApril 14, 2023
Certification dateApril 14, 2023

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