OCTAVIA JACKSON
NPI 1578297974
Behavior Technician in Chattaroy, WA
About Octavia Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OCTAVIA JACKSON (NPI 1578297974) is an individual behavior technician in Chattaroy, Washington and active in the NPI registry since July 2022.
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 Octavia Jackson's NPI number?
The NPI number for Octavia Jackson is 1578297974. It was assigned to this individual provider in the NPPES registry on July 12, 2022.
Where is Octavia Jackson located?
Octavia Jackson practices at 9625 E Dunn Road, Chattaroy, WA 99003. The listed phone number is (510) 910-4449.
What is Octavia 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 Octavia Jackson was last updated on July 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.