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

Anjelica Jackson

Individual provider Behavior Technician · NPI 1407573421

Anjelica Jackson is a Behavior Technician in Cary, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

201 Mackenan Dr
Cary, NC 27511-6498
Phone: (919) 502-4109
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence A2878 (NC)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1407573421
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 20, 2022
Last updated in NPPESJune 17, 2025
Certification dateJune 17, 2025

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