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

Jackson Ballard

Individual provider Behavior Technician · NPI 1962134270

Jackson Ballard is a Behavior Technician in Temple Terrace, Florida. Registered with an NPI since 2022.

In the registry since
2022
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Practice location Address checks out

12911 N Telecom Pkwy
Temple Terrace, FL 33637-0907
Phone: (813) 553-7880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1962134270
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 27, 2022
Last updated in NPPESJune 27, 2022
Certification dateJune 27, 2022
Mailing address2916 Network Pl Apt 102, Lutz, FL 33559-3188

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