Diamond Jackson
Behavior Technician in Fairview Heights, IL. Individual provider (NPI-1).
NPI number1619811023
StatusActive
Last updated in NPPESApr 16, 2026
Details
- NPI
- 1619811023
- Entity type
- Individual (NPI-1)
- Name
- Diamond Jackson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 16, 2026
- Certification date
- Apr 16, 2026
- Last updated
- Apr 16, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | BACB1361836 | MO | Yes |
Practice location
343 Fountains Pkwy # 201Fairview Heights, IL 62208-2170
Phone 618-515-1441
Mailing address
343 Fountains Pkwy # 201Fairview Heights, IL 62208-2170
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Other Behavior Technician providers in Fairview Heights, IL
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- Jessica L Brown, RBTNPI 1992564884
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- Ciara Nicole CarterNPI 1629839626
- Madison L CastilloNPI 1508526872
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All 60 Behavior Technician providers in Fairview Heights · All 500 providers in Fairview Heights
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