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

Somer Jackson

Individual provider Behavior Technician · NPI 1760191803

Somer Jackson is a Behavior Technician in Poplar Bluff, Missouri. Licensed in Missouri. Registered with an NPI since 2022.

Licensed in
MO
In the registry since
2022
Specialties on file
2

Practice location Address checks out

3001 Warrior Ln
Poplar Bluff, MO 63901-8685
Phone: (573) 686-1200
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 15674 (MO)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1760191803
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 17, 2022
Last updated in NPPESSeptember 20, 2024
Certification dateSeptember 20, 2024
Mailing address3001 Warrior Ln, Poplar Bluff, MO 63901-8685

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