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

Kennedy Jackson

Individual provider Behavior Technician · NPI 1013615475

Kennedy Jackson is a Behavior Technician in Carson, California. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1649 E Abbottson St
Carson, CA 90746-2518
Phone: (310) 292-7152
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 number1013615475
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 15, 2023
Last updated in NPPESFebruary 15, 2023
Certification dateFebruary 15, 2023
Mailing address1649 E Abbottson St, Carson, CA 90746-2518

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