ATHENA JACKSON
NPI 1104643832
Behavior Technician in Norwich, CT
About Athena Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ATHENA JACKSON (NPI 1104643832) is an individual behavior technician in Norwich, Connecticut, licensed in Connecticut (128688030) and active in the NPI registry since September 2024. She maintains a secondary practice location in New London.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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 Athena Jackson's NPI number?
The NPI number for Athena Jackson is 1104643832. It was assigned to this individual provider in the NPPES registry on September 24, 2024.
Where is Athena Jackson located?
Athena Jackson practices at 113 Salem Tpke Ste 200, Norwich, CT 06360. The listed phone number is (888) 754-0398.
What is Athena 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 Athena Jackson was last updated on September 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.