D'Angelo Keith Jackson

Behavior Technician · Hudson, FL

Individual Active NPI

NPI number 1356972707

Practice location

15937 Kemper Dr
Hudson, FL 34667-4038
Phone
(248) 895-3685

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NPI record

NPI
1356972707
Entity type
Individual (Type 1)
Enumeration date
February 3, 2020
Last updated
February 3, 2020
Certified
February 3, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — FL

About D'Angelo Jackson

D'Angelo Keith Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 15937 Kemper Dr, Hudson, FL 34667-4038. The NPI number 1356972707 was assigned on February 3, 2020 and the record was last updated on February 3, 2020.

Frequently asked questions

What is the NPI number of D'Angelo Keith Jackson?

The NPI number is 1356972707.

What is the phone number of D'Angelo Jackson?

The phone number listed for the practice location is (248) 895-3685.

Where is D'Angelo Jackson located?

15937 Kemper Dr, Hudson, FL 34667-4038.

What is the taxonomy code for D'Angelo 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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