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

Diamond Jackson

Individual provider Behavior Technician · NPI 1619811023

Diamond Jackson is a Behavior Technician in Fairview Heights, Illinois. Licensed in Missouri. Registered with an NPI since 2026.

Licensed in
MO
In the registry since
2026

Practice location Address checks out

343 Fountains Pkwy # 201
Fairview Heights, IL 62208-2170
Phone: (618) 515-1441
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence BACB1361836 (MO)

Record details

NPI number1619811023
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 16, 2026
Last updated in NPPESApril 16, 2026
Certification dateApril 16, 2026
Mailing address343 Fountains Pkwy # 201, Fairview Heights, IL 62208-2170

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