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

Anthony Jackson

Individual provider Behavior Technician · NPI 1407663008

Anthony Jackson is a Behavior Technician in Tallahassee, Florida. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

3600 Maclay Blvd S Ste 100
Tallahassee, FL 32312-1276
Phone: (850) 706-5445
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 number1407663008
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 17, 2024
Last updated in NPPESDecember 17, 2024
Certification dateDecember 17, 2024
Mailing address3500 Depauw Blvd Ste 3070, Indianapolis, IN 46268-6135

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