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

Emilee Jackson

Individual provider Behavior Technician · NPI 1104623628

Emilee Jackson is a Behavior Technician in Provo, Utah. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

585 E Lakeview Pkwy Bldg 6
Provo, UT 84606-7312
Phone: (801) 935-4171
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1104623628
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 3, 2025
Last updated in NPPESMarch 3, 2025
Certification dateMarch 3, 2025
Mailing address16255 Ventura Blvd Ste 830, Encino, CA 91436-2317

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