ATHENA JACKSON
NPI 1104643832
Behavior Technician in Norwich, CT

Q: 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.

Q: What is Athena Jackson's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

Q: When was this NPI record last updated?

The NPPES record for Athena Jackson was last updated on September 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 24, 2024

113 SALEM TPKE STE 200, NORWICH, CT 06360(888) 754-0398 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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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

NPI1104643832

Entity TypeIndividualFemale

Primary Taxonomy106S00000X

Provider Legal NameATHENA JACKSON

Location Address113 SALEM TPKE STE 200Norwich, CT 06360-6484

Mailing Address113 Salem Tpke Ste 200Norwich, CT 06360-6484

Phone(888) 754-0398

Sole ProprietorYes

Enumeration DateSeptember 24, 2024

NPPES CertifiedSeptember 24, 2024

✔ NPI 1104643832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers

Taxonomy Code106S00000X

License✔ Licensed in CT · 128688030

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.

113 SALEM TPKE STE 200, Norwich, CT 06360

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Secondary Practice Location 1

Location 194 Summer StNew London, CT 06320-3513 · Phone (860) 460-3784

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.

SHEENA M DESPIRT

Behavior Analyst