ANDREA ALYSE JACKSON RBT
NPI 1487346599
Behavior Technician in Farmington Hills, MI

Q: What is Andrea Jackson's NPI number?

The NPI number for Andrea Jackson is 1487346599. It was assigned to this individual provider in the NPPES registry on May 25, 2023.

Q: What is Andrea 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 Andrea Jackson was last updated on December 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 25, 2023

27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 48334(248) 436-4400 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 11, 2024, May 25, 2023 (2 updates tracked since 2023).

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About Andrea Alyse Jackson Rbt NPPES

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

ANDREA ALYSE JACKSON RBT (NPI 1487346599) is an individual behavior technician in Farmington Hills, Michigan, licensed in (RBT-23-263786) and active in the NPI registry since May 2023. She maintains a secondary practice location in Glendale.

NPPES Registry Identity

NPI1487346599

Entity TypeIndividualFemale

Primary Taxonomy106S00000X

Provider Legal NameANDREA ALYSE JACKSONCredential: RBT

Location Address27777 INKSTER RD STE 100Farmington Hills, MI 48334-5312

Mailing Address27777 Inkster Rd Ste 100Farmington Hills, MI 48334-5312 · (248) 436-4400

Phone(248) 436-4400

Sole ProprietorNo

Enumeration DateMay 25, 2023

Last NPPES UpdateDecember 11, 20242 updates tracked since enumeration

NPPES CertifiedDecember 11, 2024

✔ NPI 1487346599 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 · RBT-23-263786

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.

27777 INKSTER RD STE 100, Farmington Hills, MI 48334

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Secondary Practice Location 1

Location 15859 W Talavi Blvd Ste 180Glendale, AZ 85306-1873 · Phone (602) 560-2836 · Fax (317) 520-8200

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.

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