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

Kanesha Jackson

Individual provider Behavior Technician · NPI 1922713999

Kanesha Jackson is a Behavior Technician in Little Rock, Arkansas. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2

Practice location Address checks out

20400 Colonel Glenn Rd
Little Rock, AR 72210-5323
Phone: (501) 821-5500
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1922713999
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 13, 2023
Last updated in NPPESApril 3, 2024
Certification dateApril 3, 2024

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