ANGELA JACKSON
NPI 1194314732
Behavior Analyst in Lithia Springs, GA

Q: What is Angela Jackson's NPI number?

The NPI number for Angela Jackson is 1194314732. It was assigned to this individual provider in the NPPES registry on January 17, 2021.

Q: What is Angela Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Angela Jackson was last updated on January 17, 2021. 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.

Active since January 17, 2021

1607 BRADMERE LN, LITHIA SPRINGS, GA 30122(678) 761-2770 Get Directions Write a Review

NPPES record last updated: January 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Angela Jackson NPPES

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

ANGELA JACKSON (NPI 1194314732) is an individual behavior analyst provider in Lithia Springs, Georgia, licensed in Georgia (2020-12959) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1194314732

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameANGELA JACKSON

Location Address1607 BRADMERE LNLithia Springs, GA 30122-3253

Mailing Address1607 Bradmere LnLithia Springs, GA 30122-3253 · (678) 761-2770

Phone(678) 761-2770

Sole ProprietorYes

Enumeration DateJanuary 17, 2021

NPPES CertifiedJanuary 17, 2021

✔ NPI 1194314732 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 GA · 2020-12959

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.

1607 BRADMERE LN, Lithia Springs, GA 30122

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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 Angela Jackson's NPI number?

The NPI number for Angela Jackson is 1194314732. It was assigned to this individual provider in the NPPES registry on January 17, 2021.

Where is Angela Jackson located?

Angela Jackson practices at 1607 Bradmere Ln, Lithia Springs, GA 30122. The listed phone number is (678) 761-2770.

What is Angela Jackson'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 Angela Jackson was last updated on January 17, 2021. 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.