JACKSON MINORU WALTHALL
NPI 1831822824
Behavior Technician in Ventura, CA

Active since July 06, 2022
1304 E MAIN ST, VENTURA, CA 93001(805) 941-3656 Get Directions Write a Review

NPPES record last updated: July 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jackson Minoru Walthall NPPES

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

JACKSON MINORU WALTHALL (NPI 1831822824) is an individual behavior technician in Ventura, California and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1831822824
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameJACKSON MINORU WALTHALL
Location Address1304 E MAIN STVentura, CA 93001-3202
Mailing Address21600 Oxnard St Ste 1800Woodland Hills, CA 91367-7807 · (818) 345-2345
Sole ProprietorNo
Enumeration DateJuly 6, 2022
NPPES CertifiedJuly 6, 2022
NPI 1831822824 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.
1304 E MAIN ST, Ventura, CA 93001

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
1304 E MAIN ST, D
VENTURA, CA 93001
Behavior Technician
1304 E MAIN ST
VENTURA, CA 93001
Marriage & Family Therapist
1304 E MAIN ST
VENTURA, CA 93001
Psychiatry & Neurology (Psychiatry)
1304 E MAIN ST, D
VENTURA, CA 93001
Behavior Technician
1304 E MAIN ST
VENTURA, CA 93001
Behavior Technician
1304 E MAIN ST
VENTURA, CA 93001
Behavior Analyst
1304 E MAIN ST
VENTURA, CA 93001
Behavior Technician
1304 E MAIN ST
VENTURA, CA 93001

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 Jackson Walthall's NPI number?

The NPI number for Jackson Walthall is 1831822824. It was assigned to this individual provider in the NPPES registry on July 6, 2022.

Where is Jackson Walthall located?

Jackson Walthall practices at 1304 E Main St, Ventura, CA 93001. The listed phone number is (805) 941-3656.

What is Jackson Walthall'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 Jackson Walthall was last updated on July 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.