Malisha Alisha Jackson

Behavior Technician · Grosse Pointe Farms, MI

Individual Active NPI

NPI number 1053244723

Practice location

18536 Mack Ave
Grosse Pointe Farms, MI 48236-3223
Phone
(248) 259-0516

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NPI record

NPI
1053244723
Entity type
Individual (Type 1)
Enumeration date
June 4, 2026
Last updated
June 12, 2026
Certified
June 12, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — MI

About Malisha Jackson

Malisha Alisha Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 18536 Mack Ave, Grosse Pointe Farms, MI 48236-3223. The NPI number 1053244723 was assigned on June 4, 2026 and the record was last updated on June 12, 2026.

Frequently asked questions

What is the NPI number of Malisha Alisha Jackson?

The NPI number is 1053244723.

What is the phone number of Malisha Jackson?

The phone number listed for the practice location is (248) 259-0516.

Where is Malisha Jackson located?

18536 Mack Ave, Grosse Pointe Farms, MI 48236-3223.

What is the taxonomy code for Malisha 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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