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

Gwendolyn Rachelle Jackson I

Individual provider Behavior Technician · NPI 1265143978

Gwendolyn Rachelle Jackson I is a Behavior Technician in Upperco, Maryland. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

23 Thomas Shilling Ct
Upperco, MD 21155-9334
Phone: (443) 901-6739
Show map & directions

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

Additional practice locations (1)

  • 5804 Belle Grove Rd, Baltimore, MD 21225-3203 — (410) 789-7069

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1265143978
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 13, 2022
Last updated in NPPESDecember 13, 2022
Certification dateDecember 13, 2022

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