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

Marquice Hakim Jemel Jackson

Individual provider Behavior Technician · NPI 1013712496

Marquice Hakim Jemel Jackson is a Behavior Technician in Prudenville, Michigan. Licensed in Michigan. Registered with an NPI since 2025.

Licensed in
MI
In the registry since
2025

Practice location Address checks out

1070 W Houghton Lake Dr
Prudenville, MI 48651-9613
Phone: (989) 272-3073
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 106S00000X (MI)

Record details

NPI number1013712496
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 18, 2025
Last updated in NPPESFebruary 18, 2025
Certification dateFebruary 18, 2025

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