JACK LAWRENCE CANADY
NPI 1730025198
Behavior Technician in San Bernardino, CA
About Jack Lawrence Canady NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACK LAWRENCE CANADY (NPI 1730025198) is an individual behavior technician in San Bernardino, California and active in the NPI registry since April 2026.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jack Canady's NPI number?
The NPI number for Jack Canady is 1730025198. It was assigned to this individual provider in the NPPES registry on April 28, 2026.
Where is Jack Canady located?
Jack Canady practices at 560 E Hospitality Ln Ste 400, San Bernardino, CA 92408. The listed phone number is (909) 354-0887.
What is Jack Canady'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 Jack Canady was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.