Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GWENECIA JACKSON
Active Sole ProprietorGWENECIA JACKSON is a Behavior Technician healthcare provider located in ANTELOPE, California. NPI 1083584494 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · ANTELOPE, CA
Registration Details
- NPI Number
- 1083584494
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 10, 2025 (0.7663062643268 yrs)
- Last Updated
- Nov 10, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
3305 BROWNLEA CIRANTELOPE, CA, 958434405Browse CA providers · Browse ZIP 95843
- Phone
- 9165991484
- Primary Specialty
-
Behavior Technician
106S00000X
Other Behavior Technician Providers in ANTELOPE, CA
| Name | Credential | NPI |
|---|---|---|
| RILEY SUE AFFONSO | — | 1295245678 |
| PATRICIA ANN VARGAS | BT | 1346740867 |
| ASHLEY RAMSEY | — | 1043712631 |
| ATTAYLA MARNYCE BELL | — | 1881196350 |
| HARMANPREET SINGH | — | 1932694023 |
| EMILY ZARZEKA | — | 1508349150 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.