Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SHAWNEE JACKSON, RBT
ActiveMR. SHAWNEE JACKSON, RBT is a Behavior Technician healthcare provider located in SPRINGFIELD, Illinois. NPI 1508651829 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · SPRINGFIELD, IL
Registration Details
- NPI Number
- 1508651829
- Provider Type
- Individual
- Gender
- Unknown
- NPI Issued
- Apr 9, 2025 (1.3388230463121 yrs)
- Last Updated
- Apr 10, 2025
- License
-
RBT-25-427194 (IL)
Practice Information
- Address
-
5221 6TH STREET FRONTAGE RD ESPRINGFIELD, IL, 627035190Browse IL providers · Browse ZIP 62703
- Phone
- 2172921983
- Fax
- 2176144092
- Primary Specialty
-
Behavior Technician
106S00000X
Other Behavior Technician Providers in SPRINGFIELD, IL
| Name | Credential | NPI |
|---|---|---|
| AMANDA ROSE MINER | RBT | 1215436464 |
| MRS. SARAH ALEXANDER | — | 1295234029 |
| MRS. SAMANTHA DEHAAN SULLIVAN | M.S. | 1649779323 |
| AIYANA DAVIS | — | 1356840037 |
| AMANDA AULICH | — | 1891294575 |
| DANIELLE ELIZABETH MILES | — | 1346749025 |
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.