Jaylynn Northern-Ross
Individual provider Active NPI Behavior Technician · Elk Grove, CA
NPI 1134079320 · NPPES record last updated Jan 29, 2026
Key facts
- NPI
- 1134079320
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 2218 Kausen Dr Ste 104
Elk Grove, CA 95758-7178 - Phone
- (888) 428-3223
- Fax
- (323) 866-1881
- NPI assigned
- Jan 29, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
2218 Kausen Dr Ste 104
Elk Grove, CA 95758-7178
Mailing address
4221 Wilshire Blvd Ste 300a
Los Angeles, CA 90010-3537
Phone (888) 428-3223
Other providers in Elk Grove, CA
- Linsley Nolde
- Silsila Noorzai
- Kristina Anne Nordlin
- Angel Norse
- Northern California Vasectomy
- Northstate Dental
- Northstate Dental University Program
- Carlie Norton
- Makayla Norton
- Razan Nour
All providers in Elk Grove, CA · Behavior Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.