MALLORY CHARLENE JACKSON
NPI 1548066970
Behavior Technician in Newnan, GA
About Mallory Charlene Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MALLORY CHARLENE JACKSON (NPI 1548066970) is an individual behavior technician in Newnan, Georgia and active in the NPI registry since February 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 Mallory Jackson's NPI number?
The NPI number for Mallory Jackson is 1548066970. It was assigned to this individual provider in the NPPES registry on February 25, 2025.
Where is Mallory Jackson located?
Mallory Jackson practices at 540 Palmetto Tyrone Rd, Newnan, GA 30265. The listed phone number is (770) 608-5019.
What is Mallory 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 Mallory Jackson was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.