Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Desiree Jackson

Individual provider Early Intervention Provider Agency · NPI 1699150268

Desiree Jackson is an Early Intervention Provider Agency in North Baldwin, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2015

Practice location Address checks out

2127 Marion Pl
North Baldwin, NY 11510-2921
Phone: (646) 739-0985
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Early Intervention Provider Agency (primary) Taxonomy 252Y00000X · Licence 1773076 (NY)

Record details

NPI number1699150268
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 24, 2015
Last updated in NPPESJuly 24, 2015

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