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

Mr. Jahan Issa Pettiford

Individual provider Behavior Technician · NPI 1760275093

Mr. Jahan Issa Pettiford is a Behavior Technician in Stockton, California. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

7109 Danny Dr
Stockton, CA 95210-5320
Phone: (209) 957-7777
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 number1760275093
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 28, 2025
Last updated in NPPESMay 28, 2025
Certification dateMay 28, 2025

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