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

Lavin Jackson

Individual provider Behavior Technician · NPI 1831763598

Lavin Jackson is a Behavior Technician in Fruitland, New Mexico. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021
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Practice location Address checks out

N36
Fruitland, NM 87416
Phone: (505) 360-8309
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1831763598
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 18, 2021
Last updated in NPPESMay 18, 2021
Certification dateApril 20, 2021
Mailing addressN36, Fruitland, NM 87416

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