SAMUEL ELI JACKSON
NPI 1376151266
Behavior Analyst in Columbus, GA

Q: What is Samuel Jackson's NPI number?

The NPI number for Samuel Jackson is 1376151266. It was assigned to this individual provider in the NPPES registry on July 16, 2020.

Q: What is Samuel 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 Samuel Jackson was last updated on October 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 July 16, 2020

1110 13TH ST STE D, COLUMBUS, GA 31901(706) 780-1704 Get Directions Write a Review

NPPES record last updated: October 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 25, 2023, Jul 16, 2020 (2 updates tracked since 2020).

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About Samuel Eli Jackson NPPES

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

SAMUEL ELI JACKSON (NPI 1376151266) is an individual behavior analyst provider in Columbus, Georgia, licensed in Georgia (12369125) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1376151266

Entity TypeIndividualMale

Primary Taxonomy103K00000X

Provider Legal NameSAMUEL ELI JACKSON

Location Address1110 13TH ST STE DColumbus, GA 31901-2246

Mailing Address1110 13th St Ste DColumbus, GA 31901-2246 · (706) 780-1704

Phone(706) 780-1704

Sole ProprietorNo

Enumeration DateJuly 16, 2020

Last NPPES UpdateOctober 25, 20232 updates tracked since enumeration

NPPES CertifiedOctober 25, 2023

✔ NPI 1376151266 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 GA · 12369125

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 ListedBehavior TechnicianTaxonomy 106S00000X

1110 13TH ST STE D, Columbus, GA 31901

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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.

MRS. INDIA C BARRETT BCBA

Behavior Analyst