Alyssa Jackson

Behavior Technician · Palm Coast, FL

Individual Active NPI

NPI number 1184310039

Practice location

164 Rae Dr
Palm Coast, FL 32164-6895
Phone
(386) 986-9724

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NPI record

NPI
1184310039
Entity type
Individual (Type 1)
Enumeration date
April 13, 2023
Last updated
April 13, 2023
Certified
April 13, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

Mailing address

23 Rybar Ln
Palm Coast, FL 32164-6445

About Alyssa Jackson

Alyssa Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 164 Rae Dr, Palm Coast, FL 32164-6895. The NPI number 1184310039 was assigned on April 13, 2023 and the record was last updated on April 13, 2023.

Frequently asked questions

What is the NPI number of Alyssa Jackson?

The NPI number is 1184310039.

What is the phone number of Alyssa Jackson?

The phone number listed for the practice location is (386) 986-9724.

Where is Alyssa Jackson located?

164 Rae Dr, Palm Coast, FL 32164-6895.

What is the taxonomy code for Alyssa 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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