Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Jackson Thomas Leslie

Individual provider Behavior Technician · NPI 1649183104

Jackson Thomas Leslie is a Behavior Technician in Memphis, Tennessee. Licensed in Tennessee. Registered with an NPI since 2026.

Licensed in
TN
In the registry since
2026

Practice location Address checks out

4075 Park Ave
Memphis, TN 38111-7400
Phone: (901) 584-6340
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (TN)

Record details

NPI number1649183104
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 25, 2026
Last updated in NPPESSeptember 25, 2026
Certification dateSeptember 25, 2026

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