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

Deontae Noel Jackson

Individual provider Behavior Technician · NPI 1093515751

Deontae Noel Jackson is a Behavior Technician in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2025.

Licensed in
GA
In the registry since
2025

Practice location Address checks out

260 Peachtree St NW Ste 2200260
Atlanta, GA 30303-1202
Phone: (877) 418-2978
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (GA)

Record details

NPI number1093515751
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 13, 2025
Last updated in NPPESJune 28, 2025
Certification dateJune 28, 2025
Mailing address350 Fairway Dr Ste Fairway, Deerfield Beach, FL 33441-1834

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