Amore Nichole Jackson
NPI 1174178024ActiveIndividual· Developmental Therapist· Charlotte, NC
Developmental Therapist in Charlotte, North Carolina, with an NPI issued in August 2019.
Overview
| NPI | 1174178024 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Aug 7, 2019 |
| Last updated in NPPES | Dec 12, 2023 |
| Certified by provider | Dec 12, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Developmental Therapist Primary | 222Q00000X | — | — |
| Counselor, Mental Health | 101YM0800X | — | — |
| Behavior Technician | 106S00000X | — | — |
| Pharmacy Technician | 183700000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Developmental Therapist providers in Charlotte
- 1497993760
- 1306083761
- 1316291263
- 1154737856
- 1568733186
- 1922245380
- 1437322476
- 1245479195
- 1386894889