IndividualActive
Jack Holloway
NPI 1669168332 · Behavior Technician · Menifee, CA
Jack Holloway is a Behavior Technician provider in Menifee, CA (NPI 1669168332).
Provider details
- NPI number
- 1669168332
- 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(52/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
31610 Tramore Cir
Menifee, CA 92584-5003
Phone: (360) 624-8019
Approximate (ZIP-level) locationGet directions
Mailing address
31610 Tramore Cir
Menifee, CA 92584-5003
Registry dates
- Enumerated
- 2023-04-14
- Last updated
- 2023-04-14
- Certified
- 2023-04-14
Frequently asked questions
- What is Jack Holloway's NPI number?
- Jack Holloway's National Provider Identifier (NPI) is 1669168332, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Holloway's specialty?
- Jack Holloway is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Jack Holloway located?
- Jack Holloway's practice location on file with NPPES is 31610 Tramore Cir, Menifee, CA 92584-5003.
- What is Jack Holloway's phone number?
- The practice phone number listed in the NPPES registry for Jack Holloway is (360) 624-8019.
- Is Jack Holloway's NPI active?
- Yes — Jack Holloway's NPI (1669168332) is active in the NPPES registry as of the last update on 2023-04-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.