Active NPI
Madison Jackson
- Behavior Technician
- Atlanta, GA
National Provider Identifier
1043128911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-24-353775
- Practice address
- 1 Dunwoody Park
Atlanta, GA 30338-7404 - Phone
- (770) 804-8444
- NPI assigned
- Aug 31, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-24-353775 | TX | Primary |
Addresses
Primary practice location
1 Dunwoody Park
Atlanta, GA 30338-7404
Mailing address
3290 Cobb Galleria Pkwy Unit 15138
Atlanta, GA 30339-6389
Phone (404) 640-8130
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1043128911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3290 COBB GALLERIA PKWY UNIT 15138",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303396389",
"telephone_number": "404-640-8130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 DUNWOODY PARK",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303387404",
"telephone_number": "770-804-8444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "MADISON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-31",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "TX",
"license": "RBT-24-353775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.