IndividualActive
Tiffany Jack
NPI 1447034574 · Behavior Technician · Cerritos, CA
Tiffany Jack is a Behavior Technician provider in Cerritos, CA (NPI 1447034574).
Provider details
- NPI number
- 1447034574
- 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(56/100 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
2 documented practice locations
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
12604 Hiddencreek Way Ste C
Cerritos, CA 90703-2137
Phone: (855) 223-1723
Street-level locationGet directions
Mailing address
Po Box 33568
San Diego, CA 92163-3568
Additional practice locations (1)
- 713 W Commonwealth Ave Ste CFullerton, CA 92832-1612Phone: (714) 879-4274Fax: (714) 879-2274
Registry dates
- Enumerated
- 2023-08-21
- Last updated
- 2025-04-18
- Certified
- 2025-04-18
Frequently asked questions
- What is Tiffany Jack's NPI number?
- Tiffany Jack's National Provider Identifier (NPI) is 1447034574, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tiffany Jack's specialty?
- Tiffany Jack is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Tiffany Jack located?
- Tiffany Jack's practice location on file with NPPES is 12604 Hiddencreek Way Ste C, Cerritos, CA 90703-2137.
- What is Tiffany Jack's phone number?
- The practice phone number listed in the NPPES registry for Tiffany Jack is (855) 223-1723.
- Is Tiffany Jack's NPI active?
- Yes — Tiffany Jack's NPI (1447034574) is active in the NPPES registry as of the last update on 2025-04-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.