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

Shannon Jacob

Individual provider Behavior Technician · NPI 1508470337

Shannon Jacob is a Behavior Technician in Antioch, California. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

2008 Mangrove Way
Antioch, CA 94509-9370
Phone: (925) 329-5135
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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 number1508470337
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 31, 2020
Last updated in NPPESAugust 31, 2020
Certification dateAugust 31, 2020
Mailing address2008 Mangrove Way, Antioch, CA 94509-9370

Other providers in Antioch