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IndividualActive

Jack Connolly

Behavior Technician

NPI: 1063232130La Mesa, California, 91942(619) 782-0700Male

About Jack Connolly

Jack Connolly is a male healthcare professional specializing in Behavior Technician, registered under National Provider Identifier (NPI) number 1063232130. Their primary practice is located at 4700 SPRING ST, La Mesa, California 91942.

Patients can reach the office at (619) 782-0700. Jack Connolly has been NPI-registered since 2024.

Doctor Details

Identity & Credentials

NPI Number
1063232130
Entity Type
Individual
First Name
Jack
Last Name
Connolly
Gender
Male
Sole Proprietor
Yes
Status
active

Primary Practice Location

Address
4700 SPRING ST
City
La Mesa
State
California
ZIP
91942-0263
Country
United States
Phone
(619) 782-0700

Specialty & Taxonomy

Primary Specialty
Behavior Technician
Classification
Behavior Technician
Taxonomy Code
106S00000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
8030 LA MESA BLVD STE 25
City
LA MESA
State
CA
ZIP
919420335

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Jack Connolly's NPI number?
Jack Connolly's National Provider Identifier (NPI) is 1063232130. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Jack Connolly specialize in?
Jack Connolly specializes in Behavior Technician.
Where is Jack Connolly located?
Jack Connolly practices at 4700 SPRING ST, La Mesa, California 91942. You can reach them by phone at (619) 782-0700.
Does Jack Connolly accept Medicare?
Based on available data, Jack Connolly is not currently enrolled in the Medicare program.
Does Jack Connolly offer telehealth or virtual visits?
Jack Connolly does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Jack Connolly is 1063232130.