IndividualActive
Phenix Jackson
NPI 1134798317 · Behavior Technician · San Jose, CA
Phenix Jackson is a Behavior Technician provider in San Jose, CA (NPI 1134798317).
Provider details
- NPI number
- 1134798317
- 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(55/100 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
1887 Monterey Hwy Ste 225
San Jose, CA 95112-6192
Phone: (855) 223-7123
Street-level locationGet directions
Mailing address
16782 Von Karman Ave Ste 11
Irvine, CA 92606-2417
Registry dates
- Enumerated
- 2021-06-22
- Last updated
- 2021-06-22
- Certified
- 2021-06-22
Frequently asked questions
- What is Phenix Jackson's NPI number?
- Phenix Jackson's National Provider Identifier (NPI) is 1134798317, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Phenix Jackson's specialty?
- Phenix Jackson is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Phenix Jackson located?
- Phenix Jackson's practice location on file with NPPES is 1887 Monterey Hwy Ste 225, San Jose, CA 95112-6192.
- What is Phenix Jackson's phone number?
- The practice phone number listed in the NPPES registry for Phenix Jackson is (855) 223-7123.
- Is Phenix Jackson's NPI active?
- Yes — Phenix Jackson's NPI (1134798317) is active in the NPPES registry as of the last update on 2021-06-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.