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MR. ERIC JACK
NPI 1053801522
Behavior Analyst in Albuquerque, NM

Active since May 10, 2018
707 BROADWAY BLVD NE, ALBUQUERQUE, NM 87102(505) 345-8471 Get Directions Write a Review

NPPES record last updated: May 10, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Eric Jack NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ERIC JACK (NPI 1053801522) is an individual behavior analyst provider in Albuquerque, New Mexico and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1053801522
Entity TypeIndividualMale
Primary Taxonomy103K00000X
Provider Legal NameMR. ERIC JACK
Location Address707 BROADWAY BLVD NEAlbuquerque, NM 87102-2360
Mailing Address707 Broadway Blvd NeAlbuquerque, NM 87102-2360 · (505) 345-8471
Phone(505) 345-8471
Sole ProprietorNo
Enumeration DateMay 10, 2018
✔ NPI 1053801522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
707 BROADWAY BLVD NE, Albuquerque, NM 87102
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VANESSA ALVILLAR
Behavior Analyst
707 BROADWAY BLVD NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 345-8471
LYRIC LAWSON-PARKS
Social Worker (Clinical)
707 BROADWAY BLVD NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 268-0701
FELISHA LEYBA
Counselor (Mental Health)
707 BROADWAY BLVD NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 345-8471
KAI JIN
Behavior Analyst
707 BROADWAY BLVD NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 345-8471
JEFFERY J JOHNSON LPCC
Counselor (Professional)
707 BROADWAY BLVD NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 382-9169
BERNADETTE CORRREA
Behavior Analyst
707 BROADWAY BLVD NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 342-5489
DARLENE SHIRLEY SCHUBERT B.A.
Behavior Analyst
707 BROADWAY BLVD NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 345-8471
MS. MINDA JANE STILLINGS LPC
Counselor (Mental Health)
707 BROADWAY BLVD NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 268-0701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eric Jack's NPI number?

The NPI number for Eric Jack is 1053801522. It was assigned to this individual provider in the NPPES registry on May 10, 2018.

Where is Eric Jack located?

Eric Jack practices at 707 Broadway Blvd NE, Albuquerque, NM 87102. The listed phone number is (505) 345-8471.

What is Eric Jack's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Eric Jack was last updated on May 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.