Justice Jackson
Behavior Technician in New Rochelle, New York
1124614896- Practice location
- 466 Main St, New Rochelle, NY 10801-6431
- Phone
- 718-769-2698
- Fax
- 844-310-3344
- Last updated
- December 17, 2020
Justice Jackson is a Behavior Technician based in New Rochelle, NY. Justice Jackson practices in New Rochelle, NY. The NPI Number for Justice Jackson is 1124614896. The current practice location address for Justice Jackson is 466 Main St, New Rochelle, NY 10801-6431 and can be reached out via phone at 718-769-2698 and via fax at 844-310-3344.
Provider Profile Details
- NPI Number
- 1124614896
- Provider Name
- Justice Jackson
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 466 Main St, New Rochelle, NY 10801-6431
- Phone Number
- 718-769-2698
- Fax Number
- 844-310-3344
- Primary Taxonomy
- Behavior Technician · 106S00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 17, 2020
- Last Update Date
- December 17, 2020
- Certification Date
- December 17, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 466 Main St
New Rochelle, NY 10801-6431 - City
- New Rochelle
- State
- New York
- Zip
- 10801-6431
- Phone Number
- 718-769-2698
- Fax Number
- 844-310-3344
Provider Business Mailing Address Details
- Address
- 89 Van Cortlandt Pk Ave # 10701
Yonkers, NY 10701-7672 - City
- Yonkers
- State
- NY
- Zip
- 10701-7672
- Phone Number
- 914-413-6679
License Information
- Taxonomy
- Behavior Technician · 106S00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Justice Jackson?
The NPI number of Justice Jackson is 1124614896. It was assigned on December 17, 2020 and is currently active in the NPPES registry.
What is the specialty of Justice Jackson?
Justice Jackson is registered under the primary taxonomy Behavior Technician (code 106S00000X).
Where does Justice Jackson practice?
The practice location is 466 Main St, New Rochelle, NY 10801-6431. The office can be reached at 718-769-2698 (phone) or 844-310-3344 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124614896 directly on the NPPES registry website.