MR. SHOMARI JACKSON
NPI 1710437439
Behavior Technician in Citrus Heights, CA

Active since October 05, 2016
12801 FAIR OAKS BLVD APT 153, CITRUS HEIGHTS, CA 95610(916) 753-2486 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 7, 2025, Sep 29, 2022, Dec 4, 2019 (3 updates tracked since 2019).

About Mr. Shomari Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SHOMARI JACKSON (NPI 1710437439) is an individual behavior technician in Citrus Heights, California and active in the NPI registry since October 2016. He maintains a secondary practice location in West Sacramento.

NPPES Registry Identity

NPI1710437439
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameMR. SHOMARI JACKSON
Location Address12801 FAIR OAKS BLVD APT 153Citrus Heights, CA 95610-5205
Mailing Address3050 Beacon Blvd Ste 103West Sacramento, CA 95691-3467 · (916) 462-3100
Sole ProprietorNo
Enumeration DateOctober 5, 2016
Last NPPES UpdateAugust 7, 20253 updates tracked since enumeration
NPPES CertifiedAugust 7, 2025
NPI 1710437439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
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.
12801 FAIR OAKS BLVD APT 153, Citrus Heights, CA 95610

Secondary Practice Location 1

Location 13050 Beacon Blvd Ste 103West Sacramento, CA 95691-3467 · Phone (916) 462-3100

Other Identifiers 1

Medicaid000008468CA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shomari Jackson's NPI number?

The NPI number for Shomari Jackson is 1710437439. It was assigned to this individual provider in the NPPES registry on October 5, 2016.

Where is Shomari Jackson located?

Shomari Jackson practices at 12801 Fair Oaks Blvd Apt 153, Citrus Heights, CA 95610. The listed phone number is (916) 753-2486.

What is Shomari Jackson's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Shomari Jackson was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.