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TANYA L JACKSON ABA TECHNICIAN
NPI 1639527112
Technician, Other in Benton Harbor, MI

Active since May 25, 2016
1220 PEARL ST, BENTON HARBOR, MI 49022(269) 252-1540 Get Directions Write a Review

NPPES record last updated: May 25, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tanya L Jackson Aba Technician NPPES

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

TANYA L JACKSON ABA TECHNICIAN (NPI 1639527112) is an individual technician, other provider in Benton Harbor, Michigan and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1639527112
Entity TypeIndividualFemale
Primary Taxonomy247200000X
Provider Legal NameTANYA L JACKSONCredential: ABA TECHNICIAN
Location Address1220 PEARL STBenton Harbor, MI 49022-5539
Mailing Address3916 Stonegate, Centria HealthcareSaint Joseph, MI 49022 · (269) 252-1540
Phone(269) 252-1540
Sole ProprietorNo
Enumeration DateMay 25, 2016
✔ NPI 1639527112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247200000X
Definition
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
1220 PEARL ST, Benton Harbor, MI 49022
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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 Tanya Jackson's NPI number?

The NPI number for Tanya Jackson is 1639527112. It was assigned to this individual provider in the NPPES registry on May 25, 2016.

Where is Tanya Jackson located?

Tanya Jackson practices at 1220 Pearl St, Benton Harbor, MI 49022. The listed phone number is (269) 252-1540.

What is Tanya Jackson's specialty?

The primary specialty registered for this NPI is Technician, Other with taxonomy code 247200000X.

When was this NPI record last updated?

The NPPES record for Tanya Jackson was last updated on May 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.