IndividualActive
Jenna Cannon
NPI 1174175228 · Behavior Technician · Granite Bay, CA
Jenna Cannon is a Behavior Technician provider in Granite Bay, CA (NPI 1174175228).
Provider details
- NPI number
- 1174175228
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
4196 Douglas Blvd
Granite Bay, CA 95746-5904
Phone: (916) 489-1376
Fax: (916) 489-1386
Street-level locationGet directions
Mailing address
Po Box 5157
Modesto, CA 95352-5157
Registry dates
- Enumerated
- 2019-07-09
- Last updated
- 2019-07-09
Frequently asked questions
- What is Jenna Cannon's NPI number?
- Jenna Cannon's National Provider Identifier (NPI) is 1174175228, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jenna Cannon's specialty?
- Jenna Cannon is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Jenna Cannon located?
- Jenna Cannon's practice location on file with NPPES is 4196 Douglas Blvd, Granite Bay, CA 95746-5904.
- What is Jenna Cannon's phone number?
- The practice phone number listed in the NPPES registry for Jenna Cannon is (916) 489-1376.
- Is Jenna Cannon's NPI active?
- Yes — Jenna Cannon's NPI (1174175228) is active in the NPPES registry as of the last update on 2019-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.