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

Tyla Jackson

Individual provider Behavior Technician · NPI 1215420435

Tyla Jackson is a Behavior Technician in Pawtucket, Rhode Island. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2
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Practice location Address checks out

70 Wood St Apt 22
Pawtucket, RI 02860
Phone: (161) 751-6777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1215420435
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 12, 2018
Last updated in NPPESDecember 11, 2020
Certification dateDecember 11, 2020
Mailing address70 Wood St Apt 22, Pawtucket, RI 02860-3123

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