Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICAELA SHANTA JACKSON
ActiveMICAELA SHANTA JACKSON is a Behavior Technician healthcare provider located in LAFAYETTE, Louisiana. NPI 1376106732 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · LAFAYETTE, LA
Registration Details
- NPI Number
- 1376106732
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 20, 2019 (7.3144348514992 yrs)
- Last Updated
- Apr 20, 2019
- License
-
106S00000X (LA)
Practice Information
- Address
-
1003 HUGH WALLIS RD S STE B2LAFAYETTE, LA, 705082528Browse LA providers · Browse ZIP 70508
- Phone
- 3372054444
- Primary Specialty
-
Behavior Technician
106S00000X
Other Behavior Technician Providers in LAFAYETTE, LA
| Name | Credential | NPI |
|---|---|---|
| LATRISHA SHAREE QUINCY | — | 1144765454 |
| LAUREN TATE | — | 1932600384 |
| CHARMAINE JENNINGS | — | 1578064721 |
| KRYSTAL CORSEY | — | 1396246153 |
| CHIDINMA NICOLE ANYANWU | — | 1174024830 |
| ALISIA DEVAN SENEGAL | BS | 1578064275 |
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.