IndividualActive
Antionette Jackson
NPI 1184262131 · Behavior Technician · Riverbank, CA
Antionette Jackson is a Behavior Technician provider in Riverbank, CA (NPI 1184262131).
Provider details
- NPI number
- 1184262131
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(58/100 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
5501 Antique Rose Way
Riverbank, CA 95367-9505
Phone: (209) 521-4791
Street-level locationGet directions
Mailing address
3425 Coffee Rd Ste C2
Modesto, CA 95355-1582
Registry dates
- Enumerated
- 2019-12-19
- Last updated
- 2019-12-19
- Certified
- 2019-12-19
Frequently asked questions
- What is Antionette Jackson's NPI number?
- Antionette Jackson's National Provider Identifier (NPI) is 1184262131, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Antionette Jackson's specialty?
- Antionette Jackson is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Antionette Jackson located?
- Antionette Jackson's practice location on file with NPPES is 5501 Antique Rose Way, Riverbank, CA 95367-9505.
- What is Antionette Jackson's phone number?
- The practice phone number listed in the NPPES registry for Antionette Jackson is (209) 521-4791.
- Is Antionette Jackson's NPI active?
- Yes — Antionette Jackson's NPI (1184262131) is active in the NPPES registry as of the last update on 2019-12-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.