Tationna Sanai Keith Jackson

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-25-452898 Issued in FL

Practice address

730 Sand Lake Rd
Orlando, FL 32809-7750

Phone

(407) 412-6114

NPI assigned

Jul 14, 2025

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1752451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1376434548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 ROGERS ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328111763",
            "telephone_number": "407-719-4022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 SAND LAKE RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328097750",
            "telephone_number": "407-412-6114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "907 Outer Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328146601",
            "country_code": "US",
            "telephone_number": "855-832-6727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEITH JACKSON",
        "first_name": "TATIONNA",
        "middle_name": "SANAI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-14",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-25-452898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Keesee, CRNA
• Terri Jean Keilly, CRNA
• Kenneth S. Keister, ATC,
• Keith a Gray MD PA
• Keith G Kanter DDS PA
• Keith R Goldstein D P M P a
• Faustina Keke
• Hadi Kelani
• Alexis Keller
• Andrew Keller, MD

• Behavior Technician in Orlando, FL
• Providers in Orlando, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.