IndividualActive
Jackson Mcmullan
NPI 1164286472 · Behavior Technician · Orlando, FL
Jackson Mcmullan is a Behavior Technician provider in Orlando, FL (NPI 1164286472).
Provider details
- NPI number
- 1164286472
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(50/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
3210 Corrine Dr
Orlando, FL 32803-2230
Phone: (855) 295-3276
Fax: (888) 588-2752
Street-level locationGet directions
Mailing address
1333 S Mayflower Ave Ste 220
Monrovia, CA 91016-5239
Registry dates
- Enumerated
- 2024-02-07
- Last updated
- 2024-09-12
- Certified
- 2024-09-12
Frequently asked questions
- What is Jackson Mcmullan's NPI number?
- Jackson Mcmullan's National Provider Identifier (NPI) is 1164286472, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jackson Mcmullan's specialty?
- Jackson Mcmullan is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Jackson Mcmullan located?
- Jackson Mcmullan's practice location on file with NPPES is 3210 Corrine Dr, Orlando, FL 32803-2230.
- What is Jackson Mcmullan's phone number?
- The practice phone number listed in the NPPES registry for Jackson Mcmullan is (855) 295-3276.
- Is Jackson Mcmullan's NPI active?
- Yes — Jackson Mcmullan's NPI (1164286472) is active in the NPPES registry as of the last update on 2024-09-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.