IndividualActive
Keneisha Jackson
NPI 1972180875 · Behavior Technician · Charlotte, NC
Keneisha Jackson is a Behavior Technician provider in Charlotte, NC (NPI 1972180875).
Provider details
- NPI number
- 1972180875
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3000 Latrobe Dr Ste B
Charlotte, NC 28211-5227
Phone: (704) 780-4271
Fax: (888) 261-6694
Street-level locationGet directions
Mailing address
1802 Koulter Dr
Columbia, SC 29210-7420
Registry dates
- Enumerated
- 2021-03-26
- Last updated
- 2021-03-26
- Certified
- 2021-03-26
Frequently asked questions
- What is Keneisha Jackson's NPI number?
- Keneisha Jackson's National Provider Identifier (NPI) is 1972180875, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Keneisha Jackson's specialty?
- Keneisha Jackson is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Keneisha Jackson located?
- Keneisha Jackson's practice location on file with NPPES is 3000 Latrobe Dr Ste B, Charlotte, NC 28211-5227.
- What is Keneisha Jackson's phone number?
- The practice phone number listed in the NPPES registry for Keneisha Jackson is (704) 780-4271.
- Is Keneisha Jackson's NPI active?
- Yes — Keneisha Jackson's NPI (1972180875) is active in the NPPES registry as of the last update on 2021-03-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.