MEDICARE: FLECSHANEY JACKSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1285571562
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FLECSHANEY JACKSON

Provider Business Mailing Address
First Line	:	2332 FOOTHILL BLVD APT 105
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94601-1061
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2332 FOOTHILL BLVD APT 105
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94601-1061
Country	:	US
Telephone Number	:	341-688-4358
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2026
Last Update Date	:	05/04/2026

Similar Medicare Providers

1245395938 — ALONSO T MANNS LMFT
Practice Location Address:

1061 W OAKLAND PARK BLVD , STE 118
OAKLAND PARK, FL
33311

Practice Phone: 954-567-4175
Practice Fax:

1932236296 — UNITED THERAPISTS OF SOUTH FLORIDA, LLC
Practice Location Address:

1061 W. OAKLAND PARK BLVD. , STE. #126
OAKLAND PARK, FL
33311

Practice Phone: 954-567-4175
Practice Fax:

1205096385 — DR. RONIE L GOMES
Practice Location Address:

1061 W OAKLAND PARK BLVD , SUITE 118
WILTON MANORS, FL
33311-1609

Practice Phone: 954-567-4175
Practice Fax:

1720472095 — PATRICIA PIERROT
Practice Location Address:

1061 W OAKLAND PARK BLVD
WILTON MANORS, FL
33311-1609

Practice Phone: 954-580-0770
Practice Fax:

1508244781 — DANIEL STUDDARD
Practice Location Address:

1061 W OAKLAND PARK BLVD
WILTON MANORS, FL
33311-1609

Practice Phone: 954-580-0770
Practice Fax:

1659759835 — CARLY REYES
Practice Location Address:

1061 W OAKLAND PARK BLVD
WILTON MANORS, FL
33311-1609

Practice Phone: 954-580-0770
Practice Fax:

Directions to “ FLECSHANEY JACKSON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.