Individual provider · Type 1 NPI

Keneisha Jackson

Behavior Technician · Charlotte, NC

NPI number 1972180875 Active

Practice location

3000 Latrobe Dr Ste B
Charlotte, NC 28211-5227

Call (704) 780-4271 Map

Fax (888) 261-6694

Mailing address

1802 Koulter Dr
Columbia, SC 29210-7420

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 1972180875

Keneisha Jackson's National Provider Identifier is 1972180875, issued on Mar 26, 2021. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Charlotte, NC. The record was last updated on Mar 26, 2021.