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

Desirae Jackson

Individual provider Behavior Technician · NPI 1710793005

Desirae Jackson is a Behavior Technician in Wichita Falls, Texas. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4084 Regent Dr
Wichita Falls, TX 76308-1508
Phone: (940) 228-5297
Fax: (940) 500-4025
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1710793005
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 10, 2024
Last updated in NPPESDecember 10, 2024
Certification dateDecember 10, 2024
Mailing address4084 Regent Dr, Wichita Falls, TX 76308-1508

Other providers in Wichita Falls