IndividualActive
Jackson Penney
NPI 1356233399 · Behavior Technician · Irvine, CA
Jackson Penney is a Behavior Technician provider in Irvine, CA (NPI 1356233399).
Provider details
- NPI number
- 1356233399
- 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
Basic profile(48/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
3652 Michelson Dr
Irvine, CA 92612-1727
Phone: (949) 474-1493
Street-level locationGet directions
Mailing address
2725 Gannet Dr
Costa Mesa, CA 92626-4723
Registry dates
- Enumerated
- 2025-07-16
- Last updated
- 2025-07-16
- Certified
- 2025-07-15
Frequently asked questions
- What is Jackson Penney's NPI number?
- Jackson Penney's National Provider Identifier (NPI) is 1356233399, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jackson Penney's specialty?
- Jackson Penney is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Jackson Penney located?
- Jackson Penney's practice location on file with NPPES is 3652 Michelson Dr, Irvine, CA 92612-1727.
- What is Jackson Penney's phone number?
- The practice phone number listed in the NPPES registry for Jackson Penney is (949) 474-1493.
- Is Jackson Penney's NPI active?
- Yes — Jackson Penney's NPI (1356233399) is active in the NPPES registry as of the last update on 2025-07-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.