IndividualActive
Jack Connolly
NPI 1063232130 · Behavior Technician · La Mesa, CA
Jack Connolly is a Behavior Technician provider in La Mesa, CA (NPI 1063232130).
Provider details
- NPI number
- 1063232130
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- RBT-24-384528 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% 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
4700 Spring St
La Mesa, CA 91942-0263
Phone: (619) 782-0700
Street-level locationGet directions
Mailing address
8030 La Mesa Blvd Ste 25
La Mesa, CA 91942-0335
Registry dates
- Enumerated
- 2024-10-14
- Last updated
- 2024-10-14
- Certified
- 2024-10-14
Frequently asked questions
- What is Jack Connolly's NPI number?
- Jack Connolly's National Provider Identifier (NPI) is 1063232130, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Connolly's specialty?
- Jack Connolly is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Jack Connolly located?
- Jack Connolly's practice location on file with NPPES is 4700 Spring St, La Mesa, CA 91942-0263.
- What is Jack Connolly's phone number?
- The practice phone number listed in the NPPES registry for Jack Connolly is (619) 782-0700.
- Is Jack Connolly's NPI active?
- Yes — Jack Connolly's NPI (1063232130) is active in the NPPES registry as of the last update on 2024-10-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.