Jackson Tyler McNaughton
Behavior Technician in Concord, CA. Individual provider (NPI-1).
NPI number1407615792
StatusActive
Last updated in NPPESMar 18, 2024
Details
- NPI
- 1407615792
- Entity type
- Individual (NPI-1)
- Name
- Jackson Tyler McNaughton
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 18, 2024
- Certification date
- Mar 18, 2024
- Last updated
- Mar 18, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1855 2nd St Ste BConcord, CA 94519-2623
Phone 855-223-7123
Mailing address
Po Box 33568San Diego, CA 92163-3568
Phone 855-223-7123 · Fax 619-374-7134
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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