IndividualActive
Jason Odenthal
NPI 1053064964 · Behavior Technician · Petaluma, CA
Jason Odenthal is a Behavior Technician provider in Petaluma, CA (NPI 1053064964).
Provider details
- NPI number
- 1053064964
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
1425 N Mcdowell Blvd Ste 206
Petaluma, CA 94954-6525
Phone: (855) 223-7123
Fax: (619) 550-6368
Street-level locationGet directions
Mailing address
16782 Von Karman Ave Ste 11
Irvine, CA 92606-2417
Registry dates
- Enumerated
- 2022-01-31
- Last updated
- 2022-01-31
- Certified
- 2022-01-31
Frequently asked questions
- What is Jason Odenthal's NPI number?
- Jason Odenthal's National Provider Identifier (NPI) is 1053064964, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jason Odenthal's specialty?
- Jason Odenthal is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Jason Odenthal located?
- Jason Odenthal's practice location on file with NPPES is 1425 N Mcdowell Blvd Ste 206, Petaluma, CA 94954-6525.
- What is Jason Odenthal's phone number?
- The practice phone number listed in the NPPES registry for Jason Odenthal is (855) 223-7123.
- Is Jason Odenthal's NPI active?
- Yes — Jason Odenthal's NPI (1053064964) is active in the NPPES registry as of the last update on 2022-01-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.