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

Taraniquewa Jackson

Individual provider Behavior Technician · NPI 1265324966

Taraniquewa Jackson is a Behavior Technician in Chicago, Illinois. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

4830 N Pulaski Rd Ste 110
Chicago, IL 60630-2846
Phone: (312) 802-2917
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 number1265324966
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 17, 2025
Last updated in NPPESAugust 24, 2025
Certification dateAugust 24, 2025
Mailing address4830 N Pulaski Rd Ste 110, Chicago, IL 60630-2846

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