NPI 1538085402

Willie Lee Jackson

Practitioner Assistant Behavior Analyst Wilmington, DE

Practice location

Address: 1000 N West St, Wilmington, DE 19801-1047
Phone: (855) 832-6727
Mailing address: 342 Simon Cir, Dover, DE 19904-3438

Registered specialties

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X

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Registry record

NPI: 1538085402
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Jun 2026
Record last updated: 25 Jun 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.