IndividualActive
Jack Petrin
NPI 1164177036 · Behavior Technician · Dublin, CA
Jack Petrin is a Behavior Technician provider in Dublin, CA (NPI 1164177036).
Provider details
- NPI number
- 1164177036
- 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
5601 Arnold Rd Fl 100
Dublin, CA 94568-7726
Phone: (925) 833-7789
Street-level locationGet directions
Mailing address
Po Box 5157
Modesto, CA 95352-5157
Registry dates
- Enumerated
- 2022-02-18
- Last updated
- 2022-02-18
- Certified
- 2022-02-18
Frequently asked questions
- What is Jack Petrin's NPI number?
- Jack Petrin's National Provider Identifier (NPI) is 1164177036, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Petrin's specialty?
- Jack Petrin is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Jack Petrin located?
- Jack Petrin's practice location on file with NPPES is 5601 Arnold Rd Fl 100, Dublin, CA 94568-7726.
- What is Jack Petrin's phone number?
- The practice phone number listed in the NPPES registry for Jack Petrin is (925) 833-7789.
- Is Jack Petrin's NPI active?
- Yes — Jack Petrin's NPI (1164177036) is active in the NPPES registry as of the last update on 2022-02-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.