HOLLY JEAN JACKSON M.ED, BCBA
NPI 1548753700
Behavior Analyst in Bend, OR

Q: What is Holly Jackson's NPI number?

The NPI number for Holly Jackson is 1548753700. It was assigned to this individual provider in the NPPES registry on June 12, 2018.

Q: What is Holly 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 Holly Jackson was last updated on August 8, 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.

Active since June 12, 2018

19800 VILLAGE OFFICE CT, BEND, OR 97702(541) 480-2570 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 8, 2023, Nov 8, 2022, Jun 12, 2018 (3 updates tracked since 2018).

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About Holly Jean Jackson M.ed, Bcba NPPES

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

HOLLY JEAN JACKSON M.ED, BCBA (NPI 1548753700) is an individual behavior analyst provider in Bend, Oregon and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1548753700

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameHOLLY JEAN JACKSONCredential: M.ED, BCBA

Location Address19800 VILLAGE OFFICE CTBend, OR 97702-1872

Mailing AddressPo Box 1432Bend, OR 97709-1432 · (541) 480-2570

Phone(541) 480-2570

Sole ProprietorNo

Enumeration DateJune 12, 2018

Last NPPES UpdateAugust 8, 20233 updates tracked since enumeration

NPPES CertifiedAugust 8, 2023

✔ NPI 1548753700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

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.

19800 VILLAGE OFFICE CT, Bend, OR 97702

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Other Identifiers 1

Other1-23-66904OR · Behavior Analyst Certification Board

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAYLOR GRACE KEENEN M.ED, BCBA

Behavior Analyst

19800 VILLAGE OFFICE CT, #104
BEND, OR 97702

Deschutes County (541) 306-3483

DELANEY FRYE

Behavior Analyst

19800 VILLAGE OFFICE CT
BEND, OR 97702

Deschutes County (541) 727-1592

TAMRA CALDWELL

Behavior Technician

19800 VILLAGE OFFICE CT, 104
BEND, OR 97702

Deschutes County (541) 241-0744

JASELY GRULLON LEANDRY GRULLON

Behavior Technician

19800 VILLAGE OFFICE CT
BEND, OR 97702

Deschutes County (541) 306-3483

SHAYLENE SACHE STARK

Behavior Technician

19800 VILLAGE OFFICE CT
BEND, OR 97702

Deschutes County (541) 306-3483

EAMON CAMPBELL

Behavior Analyst

19800 VILLAGE OFFICE CT, 104
BEND, OR 97702

Deschutes County (541) 306-3483

MADISON KRISTIN SHAW

Behavior Technician

19800 VILLAGE OFFICE CT
BEND, OR 97702

Deschutes County (541) 306-3483

SHARON BALSAMO LPC

Counselor (Professional)

19800 VILLAGE OFFICE CT, SUITE 105
BEND, OR 97702

Deschutes County (541) 728-3106

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 Holly Jackson's NPI number?

The NPI number for Holly Jackson is 1548753700. It was assigned to this individual provider in the NPPES registry on June 12, 2018.

Where is Holly Jackson located?

Holly Jackson practices at 19800 Village Office Ct, Bend, OR 97702. The listed phone number is (541) 480-2570.

What is Holly Jackson's specialty?

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

What insurance does Holly Jackson accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Holly 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 Holly Jackson was last updated on August 8, 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.