IndividualActive
Justice Jackson
NPI 1124614896 · Behavior Technician · New Rochelle, NY
Justice Jackson is a Behavior Technician provider in New Rochelle, NY (NPI 1124614896).
Provider details
- NPI number
- 1124614896
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
466 Main St
New Rochelle, NY 10801-6431
Phone: (718) 769-2698
Fax: (844) 310-3344
Approximate (ZIP-level) locationGet directions
Mailing address
89 Van Cortlandt Pk Ave # 10701
Yonkers, NY 10701-7672
Registry dates
- Enumerated
- 2020-12-17
- Last updated
- 2020-12-17
- Certified
- 2020-12-17
Frequently asked questions
- What is Justice Jackson's NPI number?
- Justice Jackson's National Provider Identifier (NPI) is 1124614896, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Justice Jackson's specialty?
- Justice Jackson is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Justice Jackson located?
- Justice Jackson's practice location on file with NPPES is 466 Main St, New Rochelle, NY 10801-6431.
- What is Justice Jackson's phone number?
- The practice phone number listed in the NPPES registry for Justice Jackson is (718) 769-2698.
- Is Justice Jackson's NPI active?
- Yes — Justice Jackson's NPI (1124614896) is active in the NPPES registry as of the last update on 2020-12-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.