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

Athena Jackson

Individual provider Behavior Technician · NPI 1104643832

Athena Jackson is a Behavior Technician in Norwich, Connecticut. Practices as a sole proprietor and works from 2 locations. Licensed in Connecticut.

Licensed in
CT
In the registry since
2024

Practice location Address checks out

113 Salem Tpke Ste 200
Norwich, CT 06360-6484
Phone: (888) 754-0398
Show map & directions

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

Additional practice locations (1)

  • 94 Summer St, New London, CT 06320-3513 — (860) 460-3784

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 128688030 (CT)

Record details

NPI number1104643832
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 24, 2024
Last updated in NPPESSeptember 24, 2024
Certification dateSeptember 24, 2024
Mailing address113 Salem Tpke Ste 200, Norwich, CT 06360-6484

Other providers in Norwich