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

Latayvia Sheris Jackson

Individual provider Behavior Technician · NPI 1225579824

Latayvia Sheris Jackson is a Behavior Technician in Astoria, New York. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

35-34 21STREETAPT#1H
Astoria, NY 11106
Phone: (646) 240-0903
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 number1225579824
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 15, 2017
Last updated in NPPESMarch 15, 2017

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