Denel Jackson, BT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

23800 Northwestern Hwy Ste 190L
Southfield, MI 48075-7740

Phone

(734) 294-5848

Fax

(877) 927-8461

NPI assigned

Feb 12, 2024

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

Credentials

Bachelor of Theology

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Akoya Behavioral Health LLC

  • Behavior Analyst
  • Southfield, MI
  • NPI 1891476123
  NPD

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1689438541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20840 DUNS SCOTUS ST",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753206",
            "telephone_number": "810-986-7849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23800 NORTHWESTERN HWY STE 190L",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480757740",
            "telephone_number": "734-294-5848",
            "fax_number": "877-927-8461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "DENEL",
        "credential": "BT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alrika Marie Jackson, LLMSW
• April A Jackson, LLPC
• Breosha Jackson
• Chante Olivia Jackson, C.O.T.A.L
• Cynthia Elaine Jackson
• Denise Jackson, MA, LLPC
• Elain Jackson
• Gaynella Jackson, LMSW
• Jessica Jackson
• Jholene Jackson

• Behavior Technician in Southfield, MI
• Providers in Southfield, MI by specialty
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.