Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SOMARIYA DERIKA JACKSON
Active Sole ProprietorSOMARIYA DERIKA JACKSON is a Behavioral Health Technician healthcare provider located in LUMBERTON, North Carolina. NPI 1386482446 is currently active in the NPPES registry. Verify at CMS.
Behavioral Health Technician · LUMBERTON, NC
Registration Details
- NPI Number
- 1386482446
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 15, 2024 (2.111973337547 yrs)
- Last Updated
- Jul 15, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
254 JAYLEN DRLUMBERTON, NC, 28358Browse NC providers · Browse ZIP 28358
- Phone
- 8707962436
- Primary Specialty
-
Behavioral Health Technician
374700000X
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.