IMUNIQUE KYRAN JACKSON
NPI 1184591901
Behavior Technician in Long Beach, CA
About Imunique Kyran Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IMUNIQUE KYRAN JACKSON (NPI 1184591901) is an individual behavior technician in Long Beach, California and active in the NPI registry since October 2025.
NPPES Registry Identity
Specialties & Licenses
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 Imunique Jackson's NPI number?
The NPI number for Imunique Jackson is 1184591901. It was assigned to this individual provider in the NPPES registry on October 17, 2025.
Where is Imunique Jackson located?
Imunique Jackson practices at 6691 Muriel Ave, Long Beach, CA 90805. The listed phone number is (562) 479-1914.
What is Imunique 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 Imunique Jackson was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.