Devvon Jackson

Behavior Technician · Berlin, MD

Individual Active NPI

NPI number 1972147536

Practice location

10514 Racetrack Rd Ste G
Berlin, MD 21811-3241
Phone
(410) 973-2301
Fax
(410) 973-2305

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NPI record

NPI
1972147536
Entity type
Individual (Type 1)
Enumeration date
November 6, 2019
Last updated
November 6, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — MD

About Devvon Jackson

Devvon Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 10514 Racetrack Rd Ste G, Berlin, MD 21811-3241. The NPI number 1972147536 was assigned on November 6, 2019 and the record was last updated on November 6, 2019.

Frequently asked questions

What is the NPI number of Devvon Jackson?

The NPI number is 1972147536.

What is the phone number of Devvon Jackson?

The phone number listed for the practice location is (410) 973-2301.

Where is Devvon Jackson located?

10514 Racetrack Rd Ste G, Berlin, MD 21811-3241.

What is the taxonomy code for Devvon 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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