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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LATAYVIA SHERIS JACKSON

Active

LATAYVIA SHERIS JACKSON is a Behavior Technician healthcare provider located in ASTORIA, New York. NPI 1225579824 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · ASTORIA, NY

Registration Details

NPI Number
1225579824
Provider Type
Individual
Gender
Female
NPI Issued
Mar 15, 2017 (9.4395845020824 yrs)
Last Updated
Mar 15, 2017

Practice Information

Address
35-34 21STREETAPT#1H
ASTORIA, NY, 11106
Browse NY providers · Browse ZIP 11106
Phone
6462400903
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in ASTORIA, NY

Name Credential NPI
JESSICA MARIE KLEIN 1326696030
BRIAR T RANTILLA 1558902981
JOURDAN NORFLEET 1396353157
YASMINA BELKACEM 1154938777
MS. EKATERINI HATZIKYRIAKOS 1902574809
WENDY A POLANCO CASAC 1578292967
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.