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

Ebony Louise Jackson

Individual provider Behavior Technician · NPI 1508621731

Ebony Louise Jackson is a Behavior Technician in Summerville, South Carolina. Licensed in Colorado. Registered with an NPI since 2024.

Licensed in
CO
In the registry since
2024

Practice location Address checks out

1711 Central Ave
Summerville, SC 29483-9320
Phone: (843) 934-1981
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 23-268294 (CO)

Record details

NPI number1508621731
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 16, 2024
Last updated in NPPESFebruary 16, 2024
Certification dateFebruary 16, 2024

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