GARY M JACKSON
NPI 1114748480
Behavior Technician in Fayetteville, NC

Q: What is Gary Jackson's NPI number?

The NPI number for Gary Jackson is 1114748480. It was assigned to this individual provider in the NPPES registry on October 21, 2024.

Q: What is Gary 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 Gary Jackson was last updated on October 21, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 21, 2024

5948 FISHER RD STE 202, FAYETTEVILLE, NC 28304(980) 549-1484(910) 766-6080 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Gary M Jackson NPPES

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

GARY M JACKSON (NPI 1114748480) is an individual behavior technician in Fayetteville, North Carolina and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1114748480

Entity TypeIndividualMale

Primary Taxonomy106S00000X

Provider Legal NameGARY M JACKSON

Location Address5948 FISHER RD STE 202Fayetteville, NC 28304-5751

Mailing Address5948 Fisher Rd Ste 202Fayetteville, NC 28304-5751 · (980) 549-1484 · Fax (910) 766-6080

Phone(980) 549-1484

Fax(910) 766-6080

Sole ProprietorNo

Enumeration DateOctober 21, 2024

NPPES CertifiedOctober 20, 2024

✔ NPI 1114748480 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.

5948 FISHER RD STE 202, Fayetteville, NC 28304

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