Jasica Macklin
Individual provider Active NPI Behavior Technician · Newton, MS
NPI 1093438533 · NPPES record last updated Sep 20, 2022
Key facts
- NPI
- 1093438533
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 212 S Main St
Newton, MS 39345-2613 - Phone
- (601) 401-2700
- NPI assigned
- Sep 20, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
212 S Main St
Newton, MS 39345-2613
Mailing address
212 S Main St
Newton, MS 39345-2613
Phone (601) 401-2700
Other providers in Newton, MS
- Laboratory Corporation of America Holdings
- Richmond P Lachney
- Laird Hospital, Inc.
- Michael Lay
- Hai-Van Le
- Amari Keonte Major
- Meagan Nicole McMahan Chaney
- Medicomp, Inc
- Sallye Ann Miley
- Mississippi State Department of Health
All providers in Newton, MS · Behavior Technician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.