Alyssa Michelle Jackson

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

8032 Lakeshore Rd
Lexington, MI 48450-9719

Phone

(810) 201-4987

NPI assigned

May 24, 2024

Last updated

May 24, 2024By the provider in NPPES

Sex

Female

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

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Piece by Piece Autism Therapy P.L.C.

  • Behavior Analyst
  • Lexington, MI
  • NPI 1891310579
  NPD

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

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1912746231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5389 SANDUSKY RD",
            "city": "PECK",
            "state": "MI",
            "postal_code": "484669791",
            "telephone_number": "810-712-1307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8032 LAKESHORE RD",
            "city": "LEXINGTON",
            "state": "MI",
            "postal_code": "484509719",
            "telephone_number": "810-201-4987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "ALYSSA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-24",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Henning, BT
• Kara Henshaw
• Thomas W Higgins
• Gabrielle Hill
• Cheri Hood
• Rylee Nicole Johnston
• Theresa Jorde, LLMSW
• Michael Ray Jowan
• Megan Elizabeth Kacir
• Kyle Kasper

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.