Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alyssa Jackson

Individual provider Behavior Technician · NPI 1184310039

Alyssa Jackson is a Behavior Technician in Palm Coast, Florida. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

164 Rae Dr
Palm Coast, FL 32164-6895
Phone: (386) 986-9724
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1184310039
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 13, 2023
Last updated in NPPESApril 13, 2023
Certification dateApril 13, 2023
Mailing address23 Rybar Ln, Palm Coast, FL 32164-6445

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