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: July 19, 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

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Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Psychiatry)
1304 E MAIN ST, D
VENTURA, CA 93001
Marriage & Family Therapist
1304 E MAIN ST, SUITE D
VENTURA, CA 93001
Marriage & Family Therapist
1304 E MAIN ST
VENTURA, CA 93001
Substance Abuse Rehabilitation Facility
1304 E MAIN ST, SUITE A
VENTURA, CA 93001
Behavior Technician
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 Analyst
1304 E MAIN ST
VENTURA, CA 93001
Behavior Technician
1304 E MAIN ST
VENTURA, CA 93001
Behavior Technician
1304 E MAIN ST
VENTURA, CA 93001
Behavior Technician
1304 E MAIN ST
VENTURA, CA 93001

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831822824, enumerated as an "individual" on July 06, 2022.

The provider is located at 1304 E MAIN ST VENTURA, CA 93001 and the phone number is (805) 941-3656.

Behavior Technician with taxonomy code 106S00000X.