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

Jezzalyn Jackson

Individual provider Behavior Technician · NPI 1811775372

Jezzalyn Jackson is a Behavior Technician in Ellenwood, Georgia. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

4675 River Hill Cir
Ellenwood, GA 30294-1884
Phone: (678) 237-3428
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1811775372
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 18, 2023
Last updated in NPPESSeptember 18, 2023
Certification dateSeptember 17, 2023
Mailing address4675 River Hill Cir, Ellenwood, GA 30294-1884

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