Individual provider · Type 1 NPI

Thomas Lee Jackson

Behavior Technician · Tampa, FL

NPI number 1194602086 Active

Practice location

8001 Beaty Grove Dr
Tampa, FL 33626-1602

Fax (813) 920-9252

Mailing address

1853 Toucan Way Unit 1205
Sarasota, FL 34232-3124

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XRBT-25-2947-918918 (FL)

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 1194602086

Thomas Lee Jackson's National Provider Identifier is 1194602086, issued on Aug 20, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Tampa, FL. The record was last updated on Aug 25, 2025.