Brea Alysse Jackson, BT

Behavior Technician · Sherwood, AR

Individual Active NPI

NPI number 1679058994

Practice location

1540 Country Club Rd
Sherwood, AR 72120-5095
Phone
(501) 753-5459
Fax
(501) 753-5463

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NPI record

NPI
1679058994
Entity type
Individual (Type 1)
Enumeration date
October 2, 2018
Last updated
October 2, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

Mailing address

2740 College Ave
Conway, AR 72034-6141
Phone
(501) 329-5459
Fax
(501) 327-1738

About Brea Jackson

Brea Alysse Jackson, BT is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 1540 Country Club Rd, Sherwood, AR 72120-5095. The NPI number 1679058994 was assigned on October 2, 2018 and the record was last updated on October 2, 2018.

Frequently asked questions

What is the NPI number of Brea Alysse Jackson, BT?

The NPI number is 1679058994.

What is the phone number of Brea Jackson?

The phone number listed for the practice location is (501) 753-5459.

Where is Brea Jackson located?

1540 Country Club Rd, Sherwood, AR 72120-5095.

What is the taxonomy code for Brea 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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