What is Jackson Black's NPI number?

Jackson Black's National Provider Identifier (NPI) is 1003667726, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jackson Black's specialty?

Jackson Black is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).

Where is Jackson Black located?

Jackson Black's practice location on file with NPPES is 1200 Concord Ave Ste 185, Concord, CA 94520-4915.

What is Jackson Black's phone number?

The practice phone number listed in the NPPES registry for Jackson Black is (510) 268-8120.

Is Jackson Black's NPI active?

Yes — Jackson Black's NPI (1003667726) is active in the NPPES registry as of the last update on 2024-03-29.

IndividualActive

Jackson Black

NPI 1003667726 · Behavior Technician · Concord, CA

Jackson Black is a Behavior Technician provider in Concord, CA (NPI 1003667726).

Provider details

NPI number: 1003667726
Entity type: Individual
Primary specialty: Behavior TechnicianBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Behavior TechnicianPrimary106S00000X
Behavioral Health & Social Service Providers

Profile Score

Established profile(50/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
2 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1200 Concord Ave Ste 185

Concord, CA 94520-4915

Phone: (510) 268-8120

Street-level locationGet directions

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Mailing address