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

Ava Rose Jackson-Bourne

Individual provider Behavior Technician · NPI 1275401259

Ava Rose Jackson-Bourne is a Behavior Technician in Tempe, Arizona. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

2005 W 14th St
Tempe, AZ 85281-6925
Phone: (480) 863-0763
Fax: (480) 898-7419
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1275401259
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedOctober 29, 2025
Last updated in NPPESOctober 29, 2025
Certification dateOctober 29, 2025
Mailing address2005 W 14th St, Tempe, AZ 85281-6925

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