Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DENICENICOLE JACKSON
Active Sole ProprietorDENICENICOLE JACKSON is a Behavior Technician healthcare provider located in PONTIAC, Michigan. NPI 1952080947 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · PONTIAC, MI
Registration Details
- NPI Number
- 1952080947
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 17, 2023 (3.0671681819541 yrs)
- Last Updated
- Jul 17, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
51111 WOODWARD AVE STE 150PONTIAC, MI, 483425037Browse MI providers · Browse ZIP 48342
- Phone
- 2489775310
- Fax
- 2489200386
- Primary Specialty
-
Behavior Technician
106S00000X
Other Behavior Technician Providers in PONTIAC, MI
| Name | Credential | NPI |
|---|---|---|
| RENEASE PULLEY | — | 1538618517 |
| ERIN POUNCY | — | 1235694993 |
| DANGELO WOMACK | — | 1619531332 |
| LORIDETTE CABALLERO | — | 1700444080 |
| KIARA SPARROW | — | 1003476912 |
| RESHAN HOWARD | — | 1417500984 |
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.