Fredrick Jackson

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

18522 Outer Hwy 18 Ste 207
Apple Valley, CA 92307-2321

Phone

(442) 327-9172

NPI assigned

Mar 11, 2025

Last updated

Mar 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• JFHS LLC

  dba 360 Human Services

  • Behavior Analyst
  • Apple Valley, CA
  • NPI 1013540731
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1741651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1669271748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8639",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320060015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18522 OUTER HWY 18 STE 207",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072321",
            "telephone_number": "442-327-9172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "FREDRICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-11",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shurouk I Ismail, MD
• Amanda Leigh Jackson
• Andre Nakromba Jackson, MFTI
• Bruce L Jackson, P.A.
• Daysia Jackson
• Jessica Jackson
• Terri Jackson, RN
• Christopher Louis Jaco, PA-C
• Jaehoon Lee, OD, Inc.,
• Jaime C David MD Inc

• Behavior Technician in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.