Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jordan Dickerson

Individual provider Behavior Technician · NPI 1972377133

Jordan Dickerson is a Behavior Technician in Fresno, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

5140 N Fruit Ave
Fresno, CA 93711-3022
Phone: (877) 242-2884
Fax: (559) 225-2083
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 00019498 (CA)

Record details

NPI number1972377133
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 8, 2023
Last updated in NPPESNovember 8, 2023
Certification dateNovember 8, 2023

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