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

Taye-Rafael Jackson

Individual provider Behavior Technician · NPI 1568159721

Taye-Rafael Jackson is a Behavior Technician in Gonzales, Louisiana. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1028 E Worthy St
Gonzales, LA 70737-4367
Phone: (504) 399-9851
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 number1568159721
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 19, 2023
Last updated in NPPESApril 19, 2023
Certification dateApril 7, 2023
Mailing address5850 Granite Pkwy, Plano, TX 75024-6748

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