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

Mr. Timothy Randall Jackson Jr.

Individual provider Behavior Technician · NPI 1902603913

Mr. Timothy Randall Jackson Jr. is a Behavior Technician in Clinton, North Carolina. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

340A NE Blvd
Clinton, NC 28328-2424
Phone: (910) 261-3356
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 number1902603913
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 26, 2025
Last updated in NPPESFebruary 26, 2025
Certification dateFebruary 26, 2025
Mailing address701 N Main St, Salemburg, NC 28385-9784

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