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

Samuel Craig Jackson

Individual provider Behavior Technician · NPI 1558096594

Samuel Craig Jackson is a Behavior Technician in Orem, Utah. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

1875 S Geneva Rd
Orem, UT 84058-2217
Phone: (801) 437-0490
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1558096594
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 22, 2022
Last updated in NPPESJuly 22, 2022
Certification dateJuly 22, 2022
Mailing address1875 S Geneva Rd, Orem, UT 84058-2217

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