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

Phenix Jackson

Individual provider Behavior Technician · NPI 1134798317

Phenix Jackson is a Behavior Technician in San Jose, California. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

1887 Monterey Hwy Ste 225
San Jose, CA 95112-6192
Phone: (855) 223-7123
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 number1134798317
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 22, 2021
Last updated in NPPESJune 22, 2021
Certification dateJune 22, 2021
Mailing address16782 Von Karman Ave Ste 11, Irvine, CA 92606-2417

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