IndividualActive
Athena Jackson
NPI 1104643832 · Behavior Technician · Norwich, CT
Athena Jackson is a Behavior Technician provider in Norwich, CT (NPI 1104643832).
Provider details
- NPI number
- 1104643832
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 128688030 (CT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
113 Salem Tpke Ste 200
Norwich, CT 06360-6484
Phone: (888) 754-0398
Street-level locationGet directions
Mailing address
113 Salem Tpke Ste 200
Norwich, CT 06360-6484
Additional practice locations (1)
- 94 Summer StNew London, CT 06320-3513Phone: (860) 460-3784
Registry dates
- Enumerated
- 2024-09-24
- Last updated
- 2024-09-24
- Certified
- 2024-09-24
Frequently asked questions
- What is Athena Jackson's NPI number?
- Athena Jackson's National Provider Identifier (NPI) is 1104643832, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Athena Jackson's specialty?
- Athena Jackson is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Athena Jackson located?
- Athena Jackson's practice location on file with NPPES is 113 Salem Tpke Ste 200, Norwich, CT 06360-6484.
- What is Athena Jackson's phone number?
- The practice phone number listed in the NPPES registry for Athena Jackson is (888) 754-0398.
- Is Athena Jackson's NPI active?
- Yes — Athena Jackson's NPI (1104643832) is active in the NPPES registry as of the last update on 2024-09-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.