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

Dominique Jackson

Individual provider Behavior Technician · NPI 1821964834

Dominique Jackson is a Behavior Technician in Edmond, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2025.

Licensed in
OK
In the registry since
2025

Practice location Address checks out

16538 N May Ave
Edmond, OK 73012-9007
Phone: (405) 265-9208
Fax: (317) 520-8200
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-25-461798 (OK)

Record details

NPI number1821964834
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 15, 2025
Last updated in NPPESOctober 15, 2025
Certification dateOctober 15, 2025
Mailing address3500 Depauw Blvd Ste 3070, Indianapolis, IN 46268-6135

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