IndividualActive
Alycia Jackson
NPI 1336028331 · Behavior Technician · Benbrook, TX
Provider details
- NPI number
- 1336028331
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
6220 Southwest Blvd
Benbrook, TX 76109-6906
Phone: (855) 223-7123
Fax: (619) 374-7134
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 33568
San Diego, CA 92163-3568
Registry dates
- Enumerated
- 2025-09-02
- Last updated
- 2025-09-02
- Certified
- 2025-09-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.