LATRICE NICOLE JACKSON
NPI 1255045704
Behavior Technician in Dearborn, MI

Q: What is Latrice Jackson's NPI number?

The NPI number for Latrice Jackson is 1255045704. It was assigned to this individual provider in the NPPES registry on January 10, 2023.

Q: What is Latrice 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 Latrice Jackson was last updated on January 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 10, 2023

2021 MONROE ST STE 304, DEARBORN, MI 48124(517) 245-4778(517) 698-8223 Get Directions Write a Review

NPPES record last updated: January 10, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Latrice Nicole Jackson NPPES

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

LATRICE NICOLE JACKSON (NPI 1255045704) is an individual behavior technician in Dearborn, Michigan and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1255045704

Entity TypeIndividualFemale

Primary Taxonomy106S00000X

Provider Legal NameLATRICE NICOLE JACKSON

Location Address2021 MONROE ST STE 304Dearborn, MI 48124-2926

Mailing AddressPo Box 12279Lansing, MI 48901-2279 · (517) 245-4778 · Fax (517) 698-8223

Phone(517) 245-4778

Fax(517) 698-8223

Sole ProprietorNo

Enumeration DateJanuary 10, 2023

NPPES CertifiedJanuary 10, 2023

✔ NPI 1255045704 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.

2021 MONROE ST STE 304, Dearborn, MI 48124

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Other Identifiers 1

OtherJ250488630194MI · Drivers License

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.

JONATHAN WATT

Behavior Technician