IndividualActive
A'Taja Jackson
NPI 1346003159 · Behavior Technician · Philadelphia, PA
Provider details
- NPI number
- 1346003159
- 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
110 Church St
Philadelphia, PA 19106-2201
Phone: (267) 807-0550
Approximate (ZIP-level) locationGet directions
Mailing address
4120 N Broad St
Philadelphia, PA 19140-3013
Registry dates
- Enumerated
- 2024-02-05
- Last updated
- 2024-02-05
- Certified
- 2024-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.