Destiny Jackson

Behavior Technician · Pontiac, MI

Individual Active NPI

NPI number 1588394381

Practice location

91 N Saginaw St Ste 101
Pontiac, MI 48342-2165
Phone
(248) 977-5310

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NPI record

NPI
1588394381
Entity type
Individual (Type 1)
Enumeration date
June 14, 2022
Last updated
June 14, 2022
Certified
June 14, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

About Destiny Jackson

Destiny Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 91 N Saginaw St Ste 101, Pontiac, MI 48342-2165. The NPI number 1588394381 was assigned on June 14, 2022 and the record was last updated on June 14, 2022.

Frequently asked questions

What is the NPI number of Destiny Jackson?

The NPI number is 1588394381.

What is the phone number of Destiny Jackson?

The phone number listed for the practice location is (248) 977-5310.

Where is Destiny Jackson located?

91 N Saginaw St Ste 101, Pontiac, MI 48342-2165.

What is the taxonomy code for Destiny 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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