Raeqwon Jackson

Behavior Technician · Oakland Park, FL

Individual Active NPI

NPI number 1568175198

Practice location

3570 NE 3rd Ave
Oakland Park, FL 33334-2180
Phone
(954) 625-4433

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NPI record

NPI
1568175198
Entity type
Individual (Type 1)
Enumeration date
December 28, 2022
Last updated
December 28, 2022
Certified
December 28, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X RBT-22-250558 FL

About Raeqwon Jackson

Raeqwon Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 3570 NE 3rd Ave, Oakland Park, FL 33334-2180. The NPI number 1568175198 was assigned on December 28, 2022 and the record was last updated on December 28, 2022.

Raeqwon Jackson lists a license in the registry: #RBT-22-250558 (FL) for Behavior Technician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Raeqwon Jackson?

The NPI number is 1568175198.

What is the phone number of Raeqwon Jackson?

The phone number listed for the practice location is (954) 625-4433.

Where is Raeqwon Jackson located?

3570 NE 3rd Ave, Oakland Park, FL 33334-2180.

What is the taxonomy code for Raeqwon 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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