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MARY JACKSON
NPI 1275144149
Behavior Analyst in Glen Carbon, IL

Active since August 13, 2020
4559 BENES AVE, GLEN CARBON, IL 62034(217) 525-8332 Get Directions Write a Review

NPPES record last updated: July 3, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 3, 2023, Jan 2, 2022, Aug 13, 2020 (3 updates tracked since 2020).

About Mary Jackson NPPES

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

MARY JACKSON (NPI 1275144149) is an individual behavior analyst provider in Glen Carbon, Illinois, licensed in Illinois (1-21-57035) and active in the NPI registry since August 2020. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1275144149
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameMARY JACKSON
Location Address4559 BENES AVEGlen Carbon, IL 62034-1541
Mailing Address4559 Benes AveGlen Carbon, IL 62034-1541
Phone(217) 525-8332
Sole ProprietorNo
Enumeration DateAugust 13, 2020
Last NPPES UpdateJuly 3, 20233 updates tracked since enumeration
NPPES CertifiedJuly 3, 2023
✔ NPI 1275144149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License✔ Licensed in IL · 1-21-57035
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 ListedAssistant Behavior AnalystTaxonomy 106E00000X
4559 BENES AVE, Glen Carbon, IL 62034
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Secondary Practice Locations 2

Location 16 Eagle Ctr Ste 1O Fallon, IL 62269-1945 · Phone (618) 206-8816
Location 2400 Saint Louis St Ste 1Edwardsville, IL 62025-1979 · Phone (618) 226-4397

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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.

HENRY MICHAEL SCHILLING RBT
Behavior Technician
4559 BENES AVE
GLEN CARBON, IL 62034
Madison County (217) 525-8332
JORDYN M JOHNSON BCBA
Behavior Analyst
4559 BENES AVE
GLEN CARBON, IL 62034
Madison County (217) 525-8332
ABIGAIL R STEFFENS RBT
Behavior Technician
4559 BENES AVE
GLEN CARBON, IL 62034
Madison County (217) 525-8332
CHERISH IRIELLE JONES RBT
Behavior Technician
4559 BENES AVE
GLEN CARBON, IL 62034
Madison County (217) 525-8332
KELSEY JEAN REDNOUR RBT
Behavior Technician
4559 BENES AVE
GLEN CARBON, IL 62034
Madison County (217) 525-8332
JADEYN SKYE VIOLA RBT
Behavior Technician
4559 BENES AVE
GLEN CARBON, IL 62034
Madison County (217) 525-8332
KIYA JAREY RAINEY RBT
Behavior Technician
4559 BENES AVE
GLEN CARBON, IL 62034
Madison County (217) 525-8332
TESS ALEXANDRIA KRUSE RBT
Behavior Technician
4559 BENES AVE
GLEN CARBON, IL 62034
Madison County (217) 525-8332

Frequently Asked Questions

What is Mary Jackson's NPI number?

The NPI number assigned to this healthcare provider is 1275144149, enumerated as an "individual" on August 13, 2020.

Where is the provider located?

The provider is located at 4559 BENES AVE GLEN CARBON, IL 62034 and the phone number is (217) 525-8332.

What is the provider's specialty?

Behavior Analyst with taxonomy code 103K00000X.

What insurance does Mary Jackson accept?

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter Health. Please consult your insurance carrier or call the provider to verify.