BRUCE JACKSON III
NPI 1376416594
Behavior Technician in San Antonio, TX

Active since September 24, 2025
21727 W INTERSTATE 10 STE 108, SAN ANTONIO, TX 78257(210) 455-1091 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Behavior Technician

About BRUCE JACKSON

This page provides the complete NPI Profile along with additional information for Bruce Jackson, a provider established in San Antonio, Texas with a medical specialization in Behavior Technician. The healthcare provider is registered in the NPI registry with number 1376416594 assigned on September 2025. The practitioner's primary taxonomy code is 106S00000X with license number 25-470268 (TX). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1376416594 Verify this NPI
Provider Name
BRUCE JACKSON III
Gender
Male
Entity Type
Individual
Location Address
21727 W INTERSTATE 10 STE 108 SAN ANTONIO, TX 78257
Location Phone
(210) 455-1091
Mailing Address
5510 MOSS GLENN LN HOUSTON, TX 77088
Is Sole Proprietor?
Yes
Enumeration Date
09-24-2025
Last Update Date
09-24-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Behavior Technician

Taxonomy Code
106S00000X
Type
Behavioral Health & Social Service Providers
License No.
25-470268
License State
TX
Taxonomy Description
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

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Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Behavior Analyst
21727 W INTERSTATE 10 STE 108
SAN ANTONIO, TX 78257
Behavior Technician
21727 W INTERSTATE 10 STE 108
SAN ANTONIO, TX 78257
Behavior Technician
21727 W INTERSTATE 10 STE 108
SAN ANTONIO, TX 78257
Behavior Technician
21727 W INTERSTATE 10 STE 108
SAN ANTONIO, TX 78257
Behavior Technician
21727 W INTERSTATE 10 STE 108
SAN ANTONIO, TX 78257
Behavior Analyst
21727 W INTERSTATE 10 STE 108
SAN ANTONIO, TX 78257
Behavior Technician
21727 W INTERSTATE 10 STE 108
SAN ANTONIO, TX 78257
Behavior Technician
21727 W INTERSTATE 10 STE 108
SAN ANTONIO, TX 78257
Behavior Technician
21727 W INTERSTATE 10 STE 108
SAN ANTONIO, TX 78257
Behavior Technician
21727 W INTERSTATE 10 STE 108
SAN ANTONIO, TX 78257
Behavior Analyst
21727 W INTERSTATE 10 STE 108
SAN ANTONIO, TX 78257
Behavior Technician
21727 W INTERSTATE 10 STE 108
SAN ANTONIO, TX 78257
Behavior Technician
21727 W INTERSTATE 10 STE 108
SAN ANTONIO, TX 78257
Behavior Technician
21727 W INTERSTATE 10 STE 108
SAN ANTONIO, TX 78257
Behavior Technician
21727 W INTERSTATE 10 STE 108
SAN ANTONIO, TX 78257
Behavior Technician
21727 W INTERSTATE 10 STE 108
SAN ANTONIO, TX 78257
Behavior Technician
21727 W INTERSTATE 10 STE 108
SAN ANTONIO, TX 78257
Behavior Technician
21727 W INTERSTATE 10 STE 108
SAN ANTONIO, TX 78257
Behavior Technician
21727 W INTERSTATE 10 STE 108
SAN ANTONIO, TX 78257

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376416594, enumerated as an "individual" on September 24, 2025.

The provider is located at 21727 W INTERSTATE 10 STE 108 SAN ANTONIO, TX 78257 and the phone number is (210) 455-1091.

Behavior Technician with taxonomy code 106S00000X.