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JACKSON AUTISM CENTER
NPI 1104166776
Behavior Analyst in Jackson, MS

Active since February 19, 2013
314 COLONIAL CIR, JACKSON, MS 39211(769) 218-9596 Get Directions Write a Review

NPPES record last updated: February 19, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jackson Autism Center NPPES

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

JACKSON AUTISM CENTER (NPI 1104166776) is a healthcare organization registered as a behavior analyst in Jackson, Mississippi and active in the NPI registry since February 2013. The organization lists Rebecca Mullican, Behavior Interventionist, as its authorized official.

NPPES Registry Identity

NPI1104166776
Entity TypeOrganization
Primary Taxonomy103K00000X
Legal Business NameJACKSON AUTISM CENTER
Location Address314 COLONIAL CIRJackson, MS 39211-4213
Mailing Address314 Colonial CirJackson, MS 39211-4213 · (769) 218-9596
Phone(769) 218-9596
Organization SubpartNo
Authorized OfficialRebecca MullicanBehavior Interventionist · (769) 218-9596
Enumeration DateFebruary 19, 2013
✔ NPI 1104166776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedEarly Intervention Provider AgencyTaxonomy 252Y00000X
314 COLONIAL CIR, Jackson, MS 39211
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Jackson Autism Center's NPI number?

The NPI number for Jackson Autism Center is 1104166776. It was assigned to this organization in the NPPES registry on February 19, 2013.

Where is Jackson Autism Center located?

Jackson Autism Center is located at 314 Colonial Cir, Jackson, MS 39211. The listed phone number is (769) 218-9596.

What is Jackson Autism Center'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 Jackson Autism Center was last updated on February 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.