IndividualActive
Jerrod Packard
NPI 1902458789 · Behavior Technician · Stockton, CA
Jerrod Packard is a Behavior Technician provider in Stockton, CA (NPI 1902458789).
Provider details
- NPI number
- 1902458789
- 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(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
1545 Saint Marks Plz Ste 9
Stockton, CA 95207-6411
Phone: (209) 345-0008
Street-level locationGet directions
Mailing address
2401 Waterman Blvd
Fairfield, CA 94534
Registry dates
- Enumerated
- 2019-07-12
- Last updated
- 2019-07-12
Frequently asked questions
- What is Jerrod Packard's NPI number?
- Jerrod Packard's National Provider Identifier (NPI) is 1902458789, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jerrod Packard's specialty?
- Jerrod Packard is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Jerrod Packard located?
- Jerrod Packard's practice location on file with NPPES is 1545 Saint Marks Plz Ste 9, Stockton, CA 95207-6411.
- What is Jerrod Packard's phone number?
- The practice phone number listed in the NPPES registry for Jerrod Packard is (209) 345-0008.
- Is Jerrod Packard's NPI active?
- Yes — Jerrod Packard's NPI (1902458789) is active in the NPPES registry as of the last update on 2019-07-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.