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

Imunique Kyran Jackson

Individual provider Behavior Technician · NPI 1184591901

Imunique Kyran Jackson is a Behavior Technician in Long Beach, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

6691 Muriel Ave
Long Beach, CA 90805-2007
Phone: (562) 479-1914
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (CA)

Record details

NPI number1184591901
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 17, 2025
Last updated in NPPESOctober 24, 2025
Certification dateOctober 17, 2025
Mailing address6691 Muriel Ave, Long Beach, CA 90805-2007

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