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

Jackson Jeffery Ivy

Individual provider Behavior Technician · NPI 1235020702

Jackson Jeffery Ivy is a Behavior Technician in Deerfield Beach, Florida. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

350 Fairway Dr Ste 101
Deerfield Beach, FL 33441-1834
Phone: (512) 809-3109
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 1235020702 (CA)

Record details

NPI number1235020702
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 14, 2025
Last updated in NPPESNovember 5, 2025
Certification dateNovember 5, 2025
Mailing address3013 Oyster Bay Ave, Davis, CA 95616-2636

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