Deallen Jackson

Behavior Technician · Covington, GA

Individual Active NPI

NPI number 1487412920

Practice location

2131 Stallings St NW # 2832
Covington, GA 30014-2351
Phone
(770) 895-2978
Fax
(678) 550-9431

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NPI record

NPI
1487412920
Entity type
Individual (Type 1)
Enumeration date
March 11, 2024
Last updated
March 11, 2024
Certified
March 9, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

About Deallen Jackson

Deallen Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 2131 Stallings St NW # 2832, Covington, GA 30014-2351. The NPI number 1487412920 was assigned on March 11, 2024 and the record was last updated on March 11, 2024.

Frequently asked questions

What is the NPI number of Deallen Jackson?

The NPI number is 1487412920.

What is the phone number of Deallen Jackson?

The phone number listed for the practice location is (770) 895-2978.

Where is Deallen Jackson located?

2131 Stallings St NW # 2832, Covington, GA 30014-2351.

What is the taxonomy code for Deallen 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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