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

Lynetta Jean Jackson

Individual provider Behavior Technician · NPI 1528927308

Lynetta Jean Jackson is a Behavior Technician in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2026

Practice location Address checks out

2760 W Peoria Ave # 1277
Phoenix, AZ 85029-5202
Phone: (626) 339-4999
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (AZ)

Record details

NPI number1528927308
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 19, 2026
Last updated in NPPESJanuary 20, 2026
Certification dateJanuary 20, 2026
Mailing address730 N Atlantic St, Coolidge, AZ 85128-3819

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