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

Keosha Jackson

Individual provider Behavior Technician · NPI 1063126597

Keosha Jackson is a Behavior Technician in Charlotte, North Carolina. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

3000 Latrobe Dr Ste B
Charlotte, NC 28211-5227
Phone: (704) 780-4271
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 number1063126597
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 10, 2023
Last updated in NPPESMarch 28, 2023
Certification dateMarch 17, 2023

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