Breosha Jackson
Behavior Technician in Southfield, MI. Individual provider (NPI-1).
NPI number1114700366
StatusActive
Last updated in NPPESAug 14, 2023
Details
- NPI
- 1114700366
- Entity type
- Individual (NPI-1)
- Name
- Breosha Jackson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 14, 2023
- Certification date
- Aug 14, 2023
- Last updated
- Aug 14, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
29566 Northwestern Hwy Ste 100Southfield, MI 48034-1036
Phone 248-860-3490
Mailing address
29566 Northwestern Hwy Ste 100Southfield, MI 48034-1036
Phone 248-860-3490
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Behavior Technician providers in Southfield, MI
- Maryan AbdikadirNPI 1407613268
- Jabri AbdullahNPI 1447134150
- Warda Zahirah AbdullateefNPI 1063379964
- Necole Demetria Abdur-RahimNPI 1659257897
- Destiny AbernathyNPI 1205720497
- Alaa AbouhashimNPI 1619832441
- Patrick AbrahamsonNPI 1194526756
- Kyndra AckerbergNPI 1740197300
- Catelyn AckleyNPI 1720734189
- Darius AcunaNPI 1548098452
All 1,506 Behavior Technician providers in Southfield · All 8,937 providers in Southfield
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.