Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GWEN D JACKSON, RBT
Active Sole ProprietorGWEN D JACKSON, RBT is a Behavior Technician healthcare provider located in EDMOND, Oklahoma. NPI 1366123838 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · EDMOND, OK
Registration Details
- NPI Number
- 1366123838
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 27, 2023 (3.0392615772465 yrs)
- Last Updated
- Feb 21, 2025
- License
-
RBT-22-251702 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
330 W EDMOND RDEDMOND, OK, 730035600Browse OK providers · Browse ZIP 73003
- Phone
- 4052163391
- Fax
- 4052163391
- Primary Specialty
-
Behavior Technician
106S00000X
Other Behavior Technician Providers in EDMOND, OK
| Name | Credential | NPI |
|---|---|---|
| MRS. LAURA MAKENZIE SMITH | RBT | 1881042844 |
| DELISA YOUNG | — | 1245783562 |
| DWIGHT REECE JR. | — | 1528502028 |
| COREY HOLMAN | — | 1720524226 |
| LINDSAY STUART | — | 1649786070 |
| SHELBEY DAWN CLARK | — | 1104396597 |
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.