IndividualActive
Keosha Jackson, RBT
NPI 1811767676 · Behavior Technician · Tyrone, GA
Keosha Jackson, RBT is a Behavior Technician provider in Tyrone, GA (NPI 1811767676).
Provider details
- NPI number
- 1811767676
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- No
- License
- RBT-23-299259 (GA)
Practice location
190 Handley Rd Ste C
Tyrone, GA 30290-2178
Phone: (678) 850-7906
Street-level locationGet directions
Mailing address
644 Tallulah Trl
Warner Robins, GA 31088-7625
Registry dates
- Enumerated
- 2024-01-03
- Last updated
- 2024-01-03
- Certified
- 2024-01-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.