Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANGELA JACKSON
Active Sole ProprietorANGELA JACKSON is a Behavior Technician healthcare provider located in MIDWAY, Georgia. NPI 1710575725 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · MIDWAY, GA
Registration Details
- NPI Number
- 1710575725
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 5, 2021 (5.4245726383488 yrs)
- Last Updated
- May 22, 2022
- License
-
RBT-22-216258
- Sole Proprietor
- Yes
Practice Information
- Address
-
72 DRAYTON CTMIDWAY, GA, 313207142Browse GA providers · Browse ZIP 31320
- Phone
- 4046973608
- Fax
- 9042031226
- Primary Specialty
-
Behavior Technician
106S00000X
- Additional Specialty
- Behavior Technician
Other Behavior Technician Providers in MIDWAY, GA
| Name | Credential | NPI |
|---|---|---|
| CHAZARE RILEY | — | 1457080533 |
| SANQUELL-LA'SHAE IVORY | — | 1700767001 |
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.