JERRELLE CLEON WATERS JACKSON
NPI 1831911742
Behavior Technician in San Francisco, CA

Active since October 30, 2024
23 HARBOR RD # 23, SAN FRANCISCO, CA 94124(650) 770-3917 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jerrelle Cleon Waters Jackson NPPES

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

JERRELLE CLEON WATERS JACKSON (NPI 1831911742) is an individual behavior technician in San Francisco, California and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1831911742
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameJERRELLE CLEON WATERS JACKSON
Location Address23 HARBOR RD # 23San Francisco, CA 94124-2819
Mailing Address23 Harbor Rd # 23San Francisco, CA 94124-2819 · (650) 770-3917
Sole ProprietorYes
Enumeration DateOctober 30, 2024
NPPES CertifiedOctober 30, 2024
NPI 1831911742 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.
23 HARBOR RD # 23, San Francisco, CA 94124

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 Jerrelle Waters Jackson's NPI number?

The NPI number for Jerrelle Waters Jackson is 1831911742. It was assigned to this individual provider in the NPPES registry on October 30, 2024.

Where is Jerrelle Waters Jackson located?

Jerrelle Waters Jackson practices at 23 Harbor Rd # 23, San Francisco, CA 94124. The listed phone number is (650) 770-3917.

What is Jerrelle Waters 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 Jerrelle Waters Jackson was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.