Addonizia Jackson

Behavior Technician · Dearborn, MI

Individual Active NPI

NPI number 1457244709

Practice location

19853 Outer Dr
Dearborn, MI 48124-2066
Phone
(313) 406-5056

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NPI record

NPI
1457244709
Entity type
Individual (Type 1)
Enumeration date
June 3, 2025
Last updated
June 3, 2025
Certified
June 3, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

About Addonizia Jackson

Addonizia Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 19853 Outer Dr, Dearborn, MI 48124-2066. The NPI number 1457244709 was assigned on June 3, 2025 and the record was last updated on June 3, 2025.

Frequently asked questions

What is the NPI number of Addonizia Jackson?

The NPI number is 1457244709.

What is the phone number of Addonizia Jackson?

The phone number listed for the practice location is (313) 406-5056.

Where is Addonizia Jackson located?

19853 Outer Dr, Dearborn, MI 48124-2066.

What is the taxonomy code for Addonizia 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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