IndividualActive
Keosha Jackson
NPI 1063126597 · Behavior Technician · Charlotte, NC
Keosha Jackson is a Behavior Technician provider in Charlotte, NC (NPI 1063126597).
Provider details
- NPI number
- 1063126597
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3000 Latrobe Dr Ste B
Charlotte, NC 28211-5227
Phone: (704) 780-4271
Street-level locationGet directions
Mailing address
16255 Ventura Blvd Ste 830
Encino, CA 91436-2317
Registry dates
- Enumerated
- 2023-01-10
- Last updated
- 2023-03-28
- Certified
- 2023-03-17
Frequently asked questions
- What is Keosha Jackson's NPI number?
- Keosha Jackson's National Provider Identifier (NPI) is 1063126597, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Keosha Jackson's specialty?
- Keosha Jackson is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Keosha Jackson located?
- Keosha Jackson's practice location on file with NPPES is 3000 Latrobe Dr Ste B, Charlotte, NC 28211-5227.
- What is Keosha Jackson's phone number?
- The practice phone number listed in the NPPES registry for Keosha Jackson is (704) 780-4271.
- Is Keosha Jackson's NPI active?
- Yes — Keosha Jackson's NPI (1063126597) is active in the NPPES registry as of the last update on 2023-03-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.