Bethany Jackson
Behavior Technician · Bloomington, IL
NPI number
1003612151
Practice location
1015 S Mercer AveBloomington, IL 61701-7107
- Phone
- (309) 663-0488
NPI record
- NPI
- 1003612151
- Entity type
- Individual (Type 1)
- Enumeration date
- February 20, 2025
- Last updated
- February 20, 2025
- Certified
- February 20, 2025
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Technician Primary | 106S00000X |
— | — |
Mailing address
2550 N Hollywood Way Ste 301Burbank, CA 91505-5025
About Bethany Jackson
Bethany Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 1015 S Mercer Ave, Bloomington, IL 61701-7107. The NPI number 1003612151 was assigned on February 20, 2025 and the record was last updated on February 20, 2025.
Frequently asked questions
What is the NPI number of Bethany Jackson?
The NPI number is 1003612151.
What is the phone number of Bethany Jackson?
The phone number listed for the practice location is (309) 663-0488.
Where is Bethany Jackson located?
1015 S Mercer Ave, Bloomington, IL 61701-7107.
What is the taxonomy code for Bethany Jackson?
The primary taxonomy code is 106S00000X – Behavior Technician.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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