Jessica Jackson

Behavior Analyst · Southfield, MI

Individual Active NPI

NPI number 1770940975

Practice location

24024 Evergreen Rd Apt 108a
Southfield, MI 48075-5517
Phone
(313) 318-8618

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NPI record

NPI
1770940975
Entity type
Individual (Type 1)
Enumeration date
January 20, 2016
Last updated
February 23, 2021
Certified
February 23, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X — —
Behavior Technician 106S00000X — —
Other Technician 247200000X — —

Mailing address

31188 Misty Pines Dr
Farmington Hills, MI 48336-1256
Phone
(248) 885-7613

About Jessica Jackson

Jessica Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 24024 Evergreen Rd Apt 108a, Southfield, MI 48075-5517. The NPI number 1770940975 was assigned on January 20, 2016 and the record was last updated on February 23, 2021.

Frequently asked questions

What is the NPI number of Jessica Jackson?

The NPI number is 1770940975.

What is the phone number of Jessica Jackson?

The phone number listed for the practice location is (313) 318-8618.

Where is Jessica Jackson located?

24024 Evergreen Rd Apt 108a, Southfield, MI 48075-5517.

What is the taxonomy code for Jessica Jackson?

The primary taxonomy code is 103K00000X – Behavior Analyst; 2 more listed above.

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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