MR. TIMOTHY RANDALL JACKSON JR.
NPI 1902603913
Behavior Technician in Clinton, NC

Active since February 26, 2025
340A NORTHEAST BLVD, CLINTON, NC 28328(910) 261-3356 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Timothy Randall Jackson Jr. NPPES

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

MR. TIMOTHY RANDALL JACKSON JR. (NPI 1902603913) is an individual behavior technician in Clinton, North Carolina and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1902603913
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameMR. TIMOTHY RANDALL JACKSON JR.
Location Address340A NORTHEAST BLVDClinton, NC 28328-2424
Mailing Address701 N Main StSalemburg, NC 28385-9784 · (910) 336-0152
Sole ProprietorYes
Enumeration DateFebruary 26, 2025
NPPES CertifiedFebruary 26, 2025
NPI 1902603913 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.
340A NORTHEAST BLVD, Clinton, NC 28328

Other Providers at the Same Location NPPES 15

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

Behavior Technician
340A NORTHEAST BLVD
CLINTON, NC 28328
Behavior Technician
340A NORTHEAST BLVD
CLINTON, NC 28328
Behavior Technician
340A NORTHEAST BLVD
CLINTON, NC 28328
Behavior Technician
340A NORTHEAST BLVD
CLINTON, NC 28328
Behavior Technician
340A NORTHEAST BLVD
CLINTON, NC 28328
Technician/Technologist (Ophthalmic)
340A NORTHEAST BLVD
CLINTON, NC 28328
Behavior Technician
340A NORTHEAST BLVD
CLINTON, NC 28328
Behavior Technician
340A NORTHEAST BLVD
CLINTON, NC 28328

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 Timothy Jackson's NPI number?

The NPI number for Timothy Jackson is 1902603913. It was assigned to this individual provider in the NPPES registry on February 26, 2025.

Where is Timothy Jackson located?

Timothy Jackson practices at 340A Northeast Blvd, Clinton, NC 28328. The listed phone number is (910) 261-3356.

What is Timothy 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 Timothy Jackson was last updated on February 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.