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

Deja Jackson

Individual provider Behavior Technician · NPI 1760051080

Deja Jackson is a Behavior Technician in Port St Lucie, Florida. Licensed in Georgia. Registered with an NPI since 2021.

Licensed in
GA
In the registry since
2021
Specialties on file
2

Practice location Address checks out

1801 SE Hillmoor Dr Ste B101-103
Port St Lucie, FL 34952-7553
Phone: (772) 463-0444
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (GA)
Behavior Analyst Taxonomy 103K00000X (GA)

Record details

NPI number1760051080
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 21, 2021
Last updated in NPPESAugust 9, 2026
Certification dateAugust 9, 2026

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