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 1023813037

Kennedy Jackson is a Behavior Technician in Stone Mtn, Georgia. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2

Practice location Address checks out

4700 Aberdeen Ln
Stone Mtn, GA 30083-4326
Phone: (404) 734-2062
Show map & directions

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

Specialties & licences

Assistant Behavior Analyst (primary) Taxonomy 106E00000X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1023813037
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 14, 2025
Last updated in NPPESFebruary 14, 2025
Certification dateFebruary 13, 2025
Mailing address4700 Aberdeen Ln, Stone Mtn, GA 30083-4326

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