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

Tannalia Virginia Jackson

Individual provider Behavior Technician · NPI 1558064014

Tannalia Virginia Jackson is a Behavior Technician in Olympia, Washington. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

3443 Lilly Rd NE
Olympia, WA 98506-3091
Phone: (877) 910-6538
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 number1558064014
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 23, 2023
Last updated in NPPESMarch 23, 2023
Certification dateMarch 23, 2023
Mailing address3296 Skok Rd, Valley, WA 99181-9730

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