Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK CONNOLLY
Active Sole ProprietorJACK CONNOLLY is a Behavior Technician healthcare provider located in LA MESA, California. NPI 1063232130 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · LA MESA, CA
Registration Details
- NPI Number
- 1063232130
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 14, 2024 (1.8457735304221 yrs)
- Last Updated
- Oct 14, 2024
- License
-
RBT-24-384528 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4700 SPRING STLA MESA, CA, 919420263Browse CA providers · Browse ZIP 91942
- Phone
- 6197820700
- Primary Specialty
-
Behavior Technician
106S00000X
Other Behavior Technician Providers in LA MESA, CA
| Name | Credential | NPI |
|---|---|---|
| AMANDA DOVER | — | 1194231407 |
| NINA FRANKLIN | — | 1902312218 |
| CYNTHIA REESE | — | 1891201109 |
| MARCIE REED | — | 1992212567 |
| LISANNE SOTO | — | 1043711724 |
| NICOLE WILSON | — | 1154822849 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.