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

Tariq Jefferson

Individual provider Behavior Technician · NPI 1306552377

Tariq Jefferson is a Behavior Technician in San Diego, California. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

4455 Murphy Canyon Rd Ste 100
San Diego, CA 92123-4379
Phone: (619) 877-1805
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 number1306552377
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 24, 2023
Last updated in NPPESJanuary 24, 2023
Certification dateJanuary 24, 2023

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