Individual provider · Type 1 NPI

Cisco Jackson

Behavior Technician · Las Cruces, NM

NPI number 1114844081 Active

Practice location

1742 Mcrae Ave
Las Cruces, NM 88001-2546

Call (575) 650-3997 Map

Mailing address

720 Harlacker Rd
La Mesa, NM 88044-9305

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XNone listed

Behavior Technician: The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That…

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About NPI 1114844081

Cisco Jackson's National Provider Identifier is 1114844081, issued on Jul 1, 2026. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Las Cruces, NM. The record was last updated on Jul 1, 2026.