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

Summer Jayne Jackson

Individual provider Behavior Technician · NPI 1821832403

Summer Jayne Jackson is a Behavior Technician in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2024
Specialties on file
2

Practice location Address checks out

120 Stevens St SW
Grand Rapids, MI 49507-1526
Phone: (614) 469-3870
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-24-391600 (MI)
Behavior Technician Taxonomy 106S00000X (MI)

Record details

NPI number1821832403
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 19, 2024
Last updated in NPPESMarch 12, 2026
Certification dateMarch 12, 2026

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