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KIMBERLY NICOLE JACKSON LBA
NPI 1104480615
Behavior Analyst in Abingdon, VA

Active since April 30, 2019
27018 LEE HWY, ABINGDON, VA 24211(276) 525-4460 Get Directions Write a Review

NPPES record last updated: November 17, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 17, 2020, Apr 30, 2019 (2 updates tracked since 2019).

About Kimberly Nicole Jackson Lba NPPES

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

KIMBERLY NICOLE JACKSON LBA (NPI 1104480615) is an individual behavior analyst provider in Abingdon, Virginia, licensed in Virginia (0133001314) and active in the NPI registry since April 2019. She maintains a secondary practice location in Wytheville.

NPPES Registry Identity

NPI1104480615
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameKIMBERLY NICOLE JACKSONCredential: LBA
Location Address27018 LEE HWYAbingdon, VA 24211-7512
Mailing Address27018 Lee HwyAbingdon, VA 24211-7512 · (276) 525-4460
Phone(276) 525-4460
Sole ProprietorNo
Enumeration DateApril 30, 2019
Last NPPES UpdateNovember 17, 20202 updates tracked since enumeration
NPPES CertifiedNovember 17, 2020
✔ NPI 1104480615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License✔ Licensed in VA · 0133001314
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.
27018 LEE HWY, Abingdon, VA 24211
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Secondary Practice Location 1

Location 1540 W Main StWytheville, VA 24382-2209 · Phone (276) 223-3291

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 5

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

KRISTEN ZRIOKA
Occupational Therapist
27018 LEE HWY
ABINGDON, VA 24211
Washington County (800) 218-6031
CHELSEY JARRETT MAYHEW COTA/L
Occupational Therapy Assistant
27018 LEE HWY
ABINGDON, VA 24211
Washington County (276) 525-6043
KAITLYN HUFF LPTA
Physical Therapy Assistant
27018 LEE HWY
ABINGDON, VA 24211
Washington County (276) 525-6048
KIMBERLY DAWN GREER
Speech-Language Pathologist
27018 LEE HWY
ABINGDON, VA 24211
Washington County (276) 525-6043
MICHAEL L. KEOHANE L.C.S.W
Social Worker (Clinical)
27018 LEE HWY
ABINGDON, VA 24211
Washington County (276) 628-8513

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 Kimberly Jackson's NPI number?

The NPI number for Kimberly Jackson is 1104480615. It was assigned to this individual provider in the NPPES registry on April 30, 2019.

Where is Kimberly Jackson located?

Kimberly Jackson practices at 27018 Lee Hwy, Abingdon, VA 24211. The listed phone number is (276) 525-4460.

What is Kimberly Jackson's specialty?

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

What insurance does Kimberly Jackson accept?

Health plans from Providence Health Plan list Kimberly Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimberly Jackson was last updated on November 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.