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

Andrew Ryan Jackson

Individual provider Behavior Technician · NPI 1942879036

Andrew Ryan Jackson is a Behavior Technician in Fort Gratiot, Michigan. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

3245 Keewahdin Rd
Fort Gratiot, MI 48059-3498
Phone: (810) 937-2345
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 number1942879036
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 22, 2021
Last updated in NPPESJune 22, 2021
Certification dateJune 22, 2021
Mailing address5039 Villa Linde Pkwy Ste 30, Flint, MI 48532-3450

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