Individual provider · Type 1 NPI

Latasha Jackson

Behavior Technician · Baton Rouge, LA

NPI number 1629914031 Active

Practice location

11607 Southfork Ave Bldg B
Baton Rouge, LA 70816-5220

Call (877) 418-2978 Map

Fax (866) 500-2188

Mailing address

3236 Vancouver Dr
Baton Rouge, LA 70819-1853

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 1629914031

Latasha Jackson's National Provider Identifier is 1629914031, issued on Apr 27, 2026. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Baton Rouge, LA. The record was last updated on Apr 27, 2026.