IndividualActive
Alexis Jackson
NPI 1205795291 · Behavior Technician · Wyomissing, PA
Provider details
- NPI number
- 1205795291
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RBT-25-505306 (PA)
Practice location
50 Commerce Dr
Wyomissing, PA 19610-3335
Phone: (484) 965-9966
Fax: (484) 231-8631
Mailing address
640 Freedom Business Ctr Dr Ste 220
King of Prussia, PA 19406-1376
Registry dates
- Enumerated
- 2026-01-16
- Last updated
- 2026-01-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.