Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PHILLIP JACKSON
ActivePHILLIP JACKSON is a Behavior Analyst healthcare provider located in BURNHAM, Illinois. NPI 1619271236 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · BURNHAM, IL
Registration Details
- NPI Number
- 1619271236
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 23, 2010 (15.63316290084 yrs)
- Last Updated
- Dec 23, 2010
Practice Information
- Address
-
14447 S BENSLEY AVEBURNHAM, IL, 606332224Browse IL providers · Browse ZIP 60633
- Phone
- 7087548815
- Primary Specialty
-
Behavior Analyst
103K00000X
Other Behavior Analyst Providers in BURNHAM, IL
| Name | Credential | NPI |
|---|---|---|
| CHERITA D EPPS | — | 1205134483 |
| DANIEL BROWN | — | 1295264976 |
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.