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

Raven Raphaela Joy Jackson

Individual provider Behavior Technician · NPI 1497690481

Raven Raphaela Joy Jackson is a Behavior Technician in Jasper, Indiana. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

695 3rd Ave
Jasper, IN 47546-3602
Phone: (812) 639-9442
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 number1497690481
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 23, 2026
Last updated in NPPESApril 23, 2026
Certification dateApril 23, 2026
Mailing address695 3rd Ave, Jasper, IN 47546-3602

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