Individual
TIFFANY JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9802 NICHOLAS ST STE 395, OMAHA, NE 68114-2168
(732) 806-0091
Mailing address
1311 N 24TH ST, OMAHA, NE 68102-4010
(531) 299-1680
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
374700000X
Technician
Primary
—
NE
Other
Enumeration date
03/12/2026
Last updated
07/13/2026
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