DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MRS. MARISSA JACKMAN

MEDICARE: MRS. MARISSA JACKMAN
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1992413454
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARISSA JACKMAN
Provider Business Mailing Address
First Line : 11808 MEADOW BRANCH DR APT 1126
Second Line :
City : ORLANDO
State : FL
Zip : 32825-5070
Country : US
Telephone Number : 240-784-6006
Fax Number :
Provider Business Practice Location Address
First Line : 1000 COLOR PL # 101
Second Line :
City : APOPKA
State : FL
Zip : 32703-7717
Country : US
Telephone Number : 888-754-0398
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2022
Last Update Date : 03/24/2026

Similar Medicare Providers

1518805977 — ISABELLA ESCANDON
Practice Location Address:
1000 COLOR PL BLDG 101
APOPKA, FL
32703-7717
Practice Phone: 888-754-0398
Practice Fax:
1861330151 — SHARINA DE LOS SANTOS
Practice Location Address:
1000 COLOR PL
APOPKA, FL
32703-7717
Practice Phone: 888-754-0398
Practice Fax:
1609722669 — ANIYA TINGLE
Practice Location Address:
1000 COLOR PL STE 101
APOPKA, FL
32703-7717
Practice Phone: 888-754-0398
Practice Fax:
1942155916 — ALEXIS HARBOUR
Practice Location Address:
1000 COLOR PL STE 101
APOPKA, FL
32703-7717
Practice Phone: 888-754-0398
Practice Fax:
1629924451 — HAILEY COATES WEBB
Practice Location Address:
1000 COLOR PL UNIT 101
APOPKA, FL
32703-7717
Practice Phone: 888-754-0398
Practice Fax:
1861764144 — KRISTINA N BLAKE OTR/L
Practice Location Address:
1000 COLOR PL STE 101
APOPKA, FL
32703-7717
Practice Phone: 352-394-0212
Practice Fax: 352-241-6361

Directions to “ MRS. MARISSA JACKMAN ” 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.