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

Mia Jonae Jackson

Individual provider Speech-Language Pathologist · NPI 1356139067

Mia Jonae Jackson is a Speech-Language Pathologist in Brooklyn, New York. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

992 Gates Ave
Brooklyn, NY 11221-3602
Phone: (718) 483-9553
Show map & directions

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1356139067
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedApril 30, 2025
Last updated in NPPESApril 30, 2025
Certification dateApril 30, 2025

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