ANGELA JACKSON
NPI 1710575725
Behavior Technician in Midway, GA

Active since January 05, 2021
72 DRAYTON CT, MIDWAY, GA 31320(404) 697-3608(904) 203-1226 Get Directions Write a Review

NPPES record last updated: May 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 22, 2022, Jan 5, 2021 (2 updates tracked since 2021).

About Angela Jackson NPPES

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

ANGELA JACKSON (NPI 1710575725) is an individual behavior technician in Midway, Georgia, licensed in (RBT-22-216258) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1710575725
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameANGELA JACKSON
Location Address72 DRAYTON CTMidway, GA 31320-7142
Mailing Address72 Drayton CtMidway, GA 31320-7142
Fax(904) 203-1226
Sole ProprietorYes
Enumeration DateJanuary 5, 2021
Last NPPES UpdateMay 22, 20222 updates tracked since enumeration
NPPES CertifiedMay 22, 2022
NPI 1710575725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
License Licensed · RBT-22-216258
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.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
72 DRAYTON CT, Midway, GA 31320

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Analyst
72 DRAYTON CT
MIDWAY, GA 31320
Behavior Analyst
72 DRAYTON CT
MIDWAY, GA 31320
Behavior Technician
72 DRAYTON CT
MIDWAY, GA 31320

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 Angela Jackson's NPI number?

The NPI number for Angela Jackson is 1710575725. It was assigned to this individual provider in the NPPES registry on January 5, 2021.

Where is Angela Jackson located?

Angela Jackson practices at 72 Drayton Ct, Midway, GA 31320. The listed phone number is (404) 697-3608.

What is Angela 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 Angela Jackson was last updated on May 22, 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.