Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GWENDOLYN RACHELLE JACKSON I
Active Sole ProprietorGWENDOLYN RACHELLE JACKSON I is a Behavior Technician healthcare provider located in UPPERCO, Maryland. NPI 1265143978 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · UPPERCO, MD
Registration Details
- NPI Number
- 1265143978
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 13, 2022 (3.6690553814951 yrs)
- Last Updated
- Dec 13, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
23 THOMAS SHILLING CTUPPERCO, MD, 211559334Browse MD providers · Browse ZIP 21155
- Phone
- 4439016739
- Primary Specialty
-
Behavior Technician
106S00000X
Other Behavior Technician Providers in UPPERCO, MD
| Name | Credential | NPI |
|---|---|---|
| NICOLE BRANHAM | — | 1346726684 |
| NATALIE LAINE STILES | — | 1093360117 |
| JALYNN DANIELLE HAVER | — | 1841807807 |
| OSMAN MOHAMED BAH | RBT | 1881299915 |
| WENDY LEE SYKES | — | 1124619358 |
| JORDAN DEUTSCH | — | 1629663471 |
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.