WENONA JACKSON BCBA
NPI 1366254807
Behavior Analyst in King Of Prussia, PA

Q: What is Wenona Jackson's NPI number?

The NPI number for Wenona Jackson is 1366254807. It was assigned to this individual provider in the NPPES registry on January 22, 2025.

Q: What is Wenona 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 Wenona Jackson was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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 22, 2025

583 SHOEMAKER RD STE 230, KING OF PRUSSIA, PA 19406(484) 681-2170(484) 320-8307 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Wenona Jackson Bcba NPPES

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

WENONA JACKSON BCBA (NPI 1366254807) is an individual behavior analyst provider in King Of Prussia, Pennsylvania, licensed in New Jersey (1-24-78366) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1366254807

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameWENONA JACKSONCredential: BCBA

Location Address583 SHOEMAKER RD STE 230King Of Prussia, PA 19406-4238

Mailing Address583 Shoemaker Rd Ste 230King Of Prussia, PA 19406-4238 · (484) 681-2170 · Fax (484) 320-8307

Phone(484) 681-2170

Fax(484) 320-8307

Sole ProprietorNo

Enumeration DateJanuary 22, 2025

NPPES CertifiedJanuary 22, 2025

✔ NPI 1366254807 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 NJ · 1-24-78366

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.

583 SHOEMAKER RD STE 230, King Of Prussia, PA 19406

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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.

SARAH MILLER

Behavior Technician