BETHANY JACKSON
NPI 1003612151
Behavior Technician in Bloomington, IL
About Bethany Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BETHANY JACKSON (NPI 1003612151) is an individual behavior technician in Bloomington, Illinois and active in the NPI registry since February 2025.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bethany Jackson's NPI number?
The NPI number for Bethany Jackson is 1003612151. It was assigned to this individual provider in the NPPES registry on February 20, 2025.
Where is Bethany Jackson located?
Bethany Jackson practices at 1015 S Mercer Ave, Bloomington, IL 61701. The listed phone number is (309) 663-0488.
What is Bethany Jackson's specialty?
The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.
When was this NPI record last updated?
The NPPES record for Bethany Jackson was last updated on February 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.