Royalty Jackson

NPI #1073471645 in Decatur, Illinois

Provider Information

NPI Number: 1073471645
Entity Type: Individual
Name: Royalty Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 13, 2026
Last Updated: Jan 13, 2026

Practice Location

Address: 2535 MILLIKIN PKWY
City: Decatur
State: Illinois
ZIP Code: 62526-2156
Phone: (217) 685-2549

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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