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

Kelsi M Jackson

Individual provider Behavior Technician · NPI 1629535976

Kelsi M Jackson is a Behavior Technician in Wyoming, Michigan. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2

Practice location Address checks out

1428 44th St SW
Wyoming, MI 49509-4312
Phone: (616) 604-8492
Show map & directions

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

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1629535976
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 22, 2019
Last updated in NPPESMarch 22, 2025
Certification dateMarch 22, 2025
Mailing address1428 44th St Sw, Wyoming, MI 49509-4312

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