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

Individual provider Behavior Technician · NPI 1568080133

Canon Peyton Jackson, BS is a Behavior Technician in Bowling Green, Kentucky. Licensed in Kentucky. Registered with an NPI since 2020.

Licensed in
KY
In the registry since
2020
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.

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Practice location Address checks out

2427 Russellville Rd
Bowling Green, KY 42101-3980
Phone: (270) 936-7472
Fax: (317) 520-8200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-20-115930 (KY)

Record details

NPI number1568080133
Entity typeIndividual (Type 1)
GenderMale
Credentials BS
Sole proprietorNo
NPI enumeratedJuly 10, 2020
Last updated in NPPESJuly 10, 2020
Certification dateJuly 10, 2020
Mailing address3500 Depauw Blvd Ste 3070, Indianapolis, IN 46268-6135

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