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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: August 09, 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.

ARMANI YATES
Behavior Technician
4559 BENES AVE
GLEN CARBON, IL 62034
Madison County (217) 525-8332
ABIGAIL BAKER
Behavior Technician
4559 BENES AVE
GLEN CARBON, IL 62034
Madison County (314) 240-1730
JORDYN M JOHNSON BCBA
Behavior Analyst
4559 BENES AVE
GLEN CARBON, IL 62034
Madison County (217) 525-8332
ZABREE MARIE RUSSELL
Behavior Technician
4559 BENES AVE
GLEN CARBON, IL 62034
Madison County (217) 525-8332
DILLAN JEFFREY FRIESNER
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
ALEXIS MARIE BELFIORE RBT
Behavior Technician
4559 BENES AVE
GLEN CARBON, IL 62034
Madison County (217) 525-8332
FAITH NICOLE HOELSCHER RBT
Behavior Technician
4559 BENES AVE
GLEN CARBON, IL 62034
Madison County (217) 525-8332

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 Mary Jackson's NPI number?

The NPI number for Mary Jackson is 1275144149. It was assigned to this individual provider in the NPPES registry on August 13, 2020.

Where is Mary Jackson located?

Mary Jackson practices at 4559 Benes Ave, Glen Carbon, IL 62034. The listed phone number is (217) 525-8332.

What is Mary Jackson's specialty?

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

What insurance does Mary Jackson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Mary 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 Mary Jackson was last updated on July 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.