Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIRANDA JACKSON, RBT
ActiveMIRANDA JACKSON, RBT is a Behavior Technician healthcare provider located in BEAN STATION, Tennessee. NPI 1629776083 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · BEAN STATION, TN
Registration Details
- NPI Number
- 1629776083
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 15, 2023 (3.4659384019904 yrs)
- Last Updated
- Feb 15, 2023
Practice Information
- Address
-
255 SPRINGWOOD DRBEAN STATION, TN, 377083003Browse TN providers · Browse ZIP 37708
- Phone
- 8658090438
- Primary Specialty
-
Behavior Technician
106S00000X
Other Behavior Technician Providers in BEAN STATION, TN
| Name | Credential | NPI |
|---|---|---|
| STEPHANIE A DUBBERLY | BEHAVIOR ASSISTANT | 1699536359 |
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.