IndividualActive
Gabrielle Jackson
NPI 1053879957 · Behavior Technician · Southlake, TX
Provider details
- NPI number
- 1053879957
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RBT-18-68892 (TX)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
2104 Greenbriar Dr
Southlake, TX 76092-8355
Phone: (817) 442-9022
Approximate (ZIP-level) locationGet directions
Mailing address
2104 Greenbriar Dr
Southlake, TX 76092-8355
Registry dates
- Enumerated
- 2019-03-09
- Last updated
- 2019-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.