KEITH JACKMAN
NPI 1841737152
Behavior Technician in Palm Bay, FL

Active since January 24, 2017
880 VANTAGE ST SE, PALM BAY, FL 32909(321) 292-0243 Get Directions Write a Review

NPPES record last updated: January 24, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keith Jackman NPPES

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

KEITH JACKMAN (NPI 1841737152) is an individual behavior technician in Palm Bay, Florida and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1841737152
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameKEITH JACKMAN
Location Address880 VANTAGE ST SEPalm Bay, FL 32909-4947
Mailing Address880 Vantage St SePalm Bay, FL 32909-4947 · (321) 292-0243
Sole ProprietorNo
Enumeration DateJanuary 24, 2017
NPI 1841737152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
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.
880 VANTAGE ST SE, Palm Bay, FL 32909

Other Identifiers 1

Medicaid656410FL

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 Keith Jackman's NPI number?

The NPI number for Keith Jackman is 1841737152. It was assigned to this individual provider in the NPPES registry on January 24, 2017.

Where is Keith Jackman located?

Keith Jackman practices at 880 Vantage St SE, Palm Bay, FL 32909. The listed phone number is (321) 292-0243.

What is Keith Jackman'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 Keith Jackman was last updated on January 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.