Malik Jackson
Behavior Technician in Henderson, NV. Individual provider (NPI-1).
NPI number1386587301
StatusActive
Last updated in NPPESApr 13, 2026
Details
- NPI
- 1386587301
- Entity type
- Individual (NPI-1)
- Name
- Malik Jackson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 13, 2026
- Certification date
- Apr 13, 2026
- Last updated
- Apr 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
8915 S Pecos Rd Ste 20aHenderson, NV 89074-7153
Phone 435-705-7574
Mailing address
8915 S Pecos Rd Ste 20aHenderson, NV 89074-7153
Phone 435-705-7574
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