Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIKAELA JACKSON
ActiveMIKAELA JACKSON is a Behavior Technician healthcare provider located in LAKE MARY, Florida. NPI 1588178859 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · LAKE MARY, FL
Registration Details
- NPI Number
- 1588178859
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 25, 2017 (8.7377604765455 yrs)
- Last Updated
- Jan 18, 2019
Practice Information
- Address
-
791 RINEHART RDLAKE MARY, FL, 32746Browse FL providers · Browse ZIP 32746
- Phone
- 4074139550
- Primary Specialty
-
Behavior Technician
106S00000X
- Additional Specialty
- Behavior Technician
Other Behavior Technician Providers in LAKE MARY, FL
| Name | Credential | NPI |
|---|---|---|
| SIRAH THOMAS SULLIVAN | — | 1871895623 |
| FALGUNI SHAH | — | 1578844437 |
| KELLY LYNN CLARK | — | 1124430772 |
| ERIC VEACH | — | 1902349954 |
| LANE SHAFFER | — | 1689118028 |
| ALLISON RONCAL | — | 1821532433 |
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.