IndividualActive
Amanda Jackson, BCAT
NPI 1366047052 · Behavior Technician · Southern Pines, NC
Provider details
- NPI number
- 1366047052
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Credential
- BCAT
- Sex
- Female
- Sole proprietor
- No
- License
- 00012644 (NC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
280 Pinehurst Ave Ste 7
Southern Pines, NC 28387-7089
Phone: (800) 991-6070
Approximate (ZIP-level) locationGet directions
Mailing address
316 Mid Valley Ctr # 186
Carmel, CA 93923-8516
Registry dates
- Enumerated
- 2020-12-01
- Last updated
- 2020-12-01
- Certified
- 2020-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.