Serenity Jackson

Behavior Technician · Granger, IN

Individual Active NPI

NPI number 1043179476

Practice location

12425 Adams Rd
Granger, IN 46530-7525
Phone
(574) 387-4313

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NPI record

NPI
1043179476
Entity type
Individual (Type 1)
Enumeration date
January 21, 2026
Last updated
January 21, 2026
Certified
January 21, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X RBT-26-507423 IN

Mailing address

1827 E Ireland Rd
South Bend, IN 46614-2845
Phone
(574) 387-4313

About Serenity Jackson

Serenity Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 12425 Adams Rd, Granger, IN 46530-7525. The NPI number 1043179476 was assigned on January 21, 2026 and the record was last updated on January 21, 2026.

Serenity Jackson lists a license in the registry: #RBT-26-507423 (IN) for Behavior Technician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Serenity Jackson?

The NPI number is 1043179476.

What is the phone number of Serenity Jackson?

The phone number listed for the practice location is (574) 387-4313.

Where is Serenity Jackson located?

12425 Adams Rd, Granger, IN 46530-7525.

What is the taxonomy code for Serenity 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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