Jackson Thomas Leslie

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

4075 Park Ave
Memphis, TN 38111-7400

Phone

(901) 584-6340

NPI assigned

Sep 25, 2026

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1790294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790294400000",
    "number": "1649183104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 POLO RUN DR",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380177302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4075 PARK AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381117400",
            "telephone_number": "901-584-6340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESLIE",
        "first_name": "JACKSON",
        "middle_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-25",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reena Ann Lepine, OD
• Joe T Lequerica, M.D.
• Seles Lerma
• Emal Lesha, MD
• Jace Andrew Leslie, MD
• Darniece Sherie Lester, FNP
• Jasmine Lester, FNP-C
• Merkita Lester, FNP-C
• Fredrick Lesueur
• Frecedes Letcher

• Behavior Technician in Memphis, TN
• Providers in Memphis, TN by specialty
• Behavior Technician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.