IndividualActive
Jacob Edwards
NPI 1679147631 · Behavior Technician · Modesto, CA
Jacob Edwards is a Behavior Technician provider in Modesto, CA (NPI 1679147631).
Provider details
- NPI number
- 1679147631
- 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(56/100 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
1115 14th St
Modesto, CA 95354-1003
Phone: (209) 572-2589
Street-level locationGet directions
Mailing address
Po Box 5157
Modesto, CA 95352-5157
Registry dates
- Enumerated
- 2021-05-14
- Last updated
- 2021-05-14
- Certified
- 2021-05-14
Frequently asked questions
- What is Jacob Edwards's NPI number?
- Jacob Edwards's National Provider Identifier (NPI) is 1679147631, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacob Edwards's specialty?
- Jacob Edwards is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Jacob Edwards located?
- Jacob Edwards's practice location on file with NPPES is 1115 14th St, Modesto, CA 95354-1003.
- What is Jacob Edwards's phone number?
- The practice phone number listed in the NPPES registry for Jacob Edwards is (209) 572-2589.
- Is Jacob Edwards's NPI active?
- Yes — Jacob Edwards's NPI (1679147631) is active in the NPPES registry as of the last update on 2021-05-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.