IndividualActive
Edward Tackett
NPI 1083436901 · Behavior Technician · San Diego, CA
Edward Tackett is a Behavior Technician provider in San Diego, CA (NPI 1083436901).
Provider details
- NPI number
- 1083436901
- 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
Basic profile(49/100 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
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
4455 Murphy Canyon Rd
San Diego, CA 92123-4379
Phone: (619) 407-7180
Street-level locationGet directions
Mailing address
Po Box 33568
San Diego, CA 92163-3568
Registry dates
- Enumerated
- 2024-10-30
- Last updated
- 2025-06-17
- Certified
- 2025-06-17
Frequently asked questions
- What is Edward Tackett's NPI number?
- Edward Tackett's National Provider Identifier (NPI) is 1083436901, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Edward Tackett's specialty?
- Edward Tackett is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Edward Tackett located?
- Edward Tackett's practice location on file with NPPES is 4455 Murphy Canyon Rd, San Diego, CA 92123-4379.
- What is Edward Tackett's phone number?
- The practice phone number listed in the NPPES registry for Edward Tackett is (619) 407-7180.
- Is Edward Tackett's NPI active?
- Yes — Edward Tackett's NPI (1083436901) is active in the NPPES registry as of the last update on 2025-06-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.