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Willis Jackson
NPI 1386242709 · Behavior Technician · San Bruno, CA
Willis Jackson is a Behavior Technician provider in San Bruno, CA (NPI 1386242709).
Provider details
- NPI number
- 1386242709
- 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(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
901 Sneath Ln Ste 105
San Bruno, CA 94066-2415
Phone: (650) 515-9882
Street-level locationGet directions
Mailing address
16782 Von Karman Ave Ste 11
Irvine, CA 92606-2417
Registry dates
- Enumerated
- 2020-10-16
- Last updated
- 2020-10-16
- Certified
- 2020-10-16
Frequently asked questions
- What is Willis Jackson's NPI number?
- Willis Jackson's National Provider Identifier (NPI) is 1386242709, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Willis Jackson's specialty?
- Willis Jackson is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Willis Jackson located?
- Willis Jackson's practice location on file with NPPES is 901 Sneath Ln Ste 105, San Bruno, CA 94066-2415.
- What is Willis Jackson's phone number?
- The practice phone number listed in the NPPES registry for Willis Jackson is (650) 515-9882.
- Is Willis Jackson's NPI active?
- Yes — Willis Jackson's NPI (1386242709) is active in the NPPES registry as of the last update on 2020-10-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.