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KEOSHA JACKSON
NPI 1063126597
Behavior Technician in Charlotte, NC

Active since January 10, 2023
3000 LATROBE DR STE B, CHARLOTTE, NC 28211(704) 780-4271 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 28, 2023, Jan 10, 2023 (2 updates tracked since 2023).

About Keosha Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEOSHA JACKSON (NPI 1063126597) is an individual behavior technician in Charlotte, North Carolina and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1063126597
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameKEOSHA JACKSON
Location Address3000 LATROBE DR STE BCharlotte, NC 28211-5227
Mailing Address16255 Ventura Blvd Ste 830Encino, CA 91436-2317 · (704) 780-4271
Phone(704) 780-4271
Sole ProprietorYes
Enumeration DateJanuary 10, 2023
Last NPPES UpdateMarch 28, 20232 updates tracked since enumeration
NPPES CertifiedMarch 17, 2023
✔ NPI 1063126597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

3000 LATROBE DR STE B, Charlotte, NC 28211
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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.

SIERRA SPAIN
Behavior Technician
3000 LATROBE DR STE B
CHARLOTTE, NC 28211
Mecklenburg County (704) 780-4271
CHANTA MOORE
Behavior Technician
3000 LATROBE DR STE B
CHARLOTTE, NC 28211
Mecklenburg County (704) 780-4271
RACHEL ROXSTROM
Behavior Technician
3000 LATROBE DR STE B
CHARLOTTE, NC 28211
Mecklenburg County (704) 780-4271
TAKAYLA UNDERDUE
Behavior Technician
3000 LATROBE DR STE B
CHARLOTTE, NC 28211
Mecklenburg County (704) 780-4271
IRVING PEAY
Behavior Technician
3000 LATROBE DR STE B
CHARLOTTE, NC 28211
Mecklenburg County No phone listed
JALA HAYES
Behavior Technician
3000 LATROBE DR STE B
CHARLOTTE, NC 28211
Mecklenburg County (704) 780-4271
AKSHITA PASUPULA
Behavior Technician
3000 LATROBE DR STE B
CHARLOTTE, NC 28211
Mecklenburg County (704) 612-6537
JADAH NICHOLSON
Behavior Technician
3000 LATROBE DR STE B
CHARLOTTE, NC 28211
Mecklenburg County (704) 780-4271

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 Keosha Jackson's NPI number?

The NPI number for Keosha Jackson is 1063126597. It was assigned to this individual provider in the NPPES registry on January 10, 2023.

Where is Keosha Jackson located?

Keosha Jackson practices at 3000 Latrobe Dr Ste B, Charlotte, NC 28211. The listed phone number is (704) 780-4271.

What is Keosha 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 Keosha Jackson was last updated on March 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.