IndividualActive
Theldrina Jackson
NPI 1104514603 · Behavior Technician · Watkinsville, GA
Theldrina Jackson is a Behavior Technician provider in Watkinsville, GA (NPI 1104514603).
Provider details
- NPI number
- 1104514603
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(52/100 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
1360 Caduceus Way Ste 101
Watkinsville, GA 30677-7300
Phone: (762) 499-3476
Approximate (ZIP-level) locationGet directions
Mailing address
1360 Caduceus Way Ste 101
Watkinsville, GA 30677-7300
Registry dates
- Enumerated
- 2023-04-24
- Last updated
- 2023-04-24
- Certified
- 2023-04-24
Frequently asked questions
- What is Theldrina Jackson's NPI number?
- Theldrina Jackson's National Provider Identifier (NPI) is 1104514603, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theldrina Jackson's specialty?
- Theldrina Jackson is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Theldrina Jackson located?
- Theldrina Jackson's practice location on file with NPPES is 1360 Caduceus Way Ste 101, Watkinsville, GA 30677-7300.
- What is Theldrina Jackson's phone number?
- The practice phone number listed in the NPPES registry for Theldrina Jackson is (762) 499-3476.
- Is Theldrina Jackson's NPI active?
- Yes — Theldrina Jackson's NPI (1104514603) is active in the NPPES registry as of the last update on 2023-04-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.