Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LATRICE JACKSON
Active Sole ProprietorLATRICE JACKSON is a Behavior Technician healthcare provider located in INDIANAPOLIS, Indiana. NPI 1164095279 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · INDIANAPOLIS, IN
Registration Details
- NPI Number
- 1164095279
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 19, 2021 (5.0710435560533 yrs)
- Last Updated
- Jul 19, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
3731 GUION RDINDIANAPOLIS, IN, 462221617Browse IN providers · Browse ZIP 46222
- Phone
- 3178495437
- Primary Specialty
-
Behavior Technician
106S00000X
Other Behavior Technician Providers in INDIANAPOLIS, IN
| Name | Credential | NPI |
|---|---|---|
| MS. COURTNEY RENEE FREIHAUT | RBT | 1649576844 |
| MRS. ASHLEY MCCORY | — | 1720482250 |
| LOGAN LITCHFIELD | — | 1538534896 |
| ANGELA HIGGINS | — | 1902798044 |
| MRS. JODI KAY ICHIKAWA | BS, RBT | 1215486246 |
| DEKKIA WADE | — | 1295286169 |
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.