MICAELA SHANTA JACKSON
NPI 1376106732
Behavior Technician in Lafayette, LA
About Micaela Shanta Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICAELA SHANTA JACKSON (NPI 1376106732) is an individual behavior technician in Lafayette, Louisiana, licensed in Louisiana (106S00000X) and active in the NPI registry since April 2019.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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 Micaela Jackson's NPI number?
The NPI number for Micaela Jackson is 1376106732. It was assigned to this individual provider in the NPPES registry on April 20, 2019.
Where is Micaela Jackson located?
Micaela Jackson practices at 1003 Hugh Wallis Rd S Ste B2, Lafayette, LA 70508. The listed phone number is (337) 205-4444.
What is Micaela 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 Micaela Jackson was last updated on April 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.