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PAULA RENEE JACKSON
NPI 1578874574
Behavior Analyst in Bloomfield, NM

Active since June 24, 2010
101 E BROADWAY AVE, BLOOMFIELD, NM 87413(505) 330-8220 Get Directions Write a Review

NPPES record last updated: July 8, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Paula Renee Jackson NPPES

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

PAULA RENEE JACKSON (NPI 1578874574) is an individual behavior analyst provider in Bloomfield, New Mexico and active in the NPI registry since June 2010. She maintains a secondary practice location in Farmington.

NPPES Registry Identity

NPI1578874574
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NamePAULA RENEE JACKSON
Location Address101 E BROADWAY AVEBloomfield, NM 87413-6235
Mailing Address101 E Broadway AveBloomfield, NM 87413-6235 · (053) 308-2205
Phone(505) 330-8220
Sole ProprietorNo
Enumeration DateJune 24, 2010
Last NPPES UpdateJuly 8, 2020
NPPES CertifiedJuly 8, 2020
✔ NPI 1578874574 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.
101 E BROADWAY AVE, Bloomfield, NM 87413
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Secondary Practice Location 1

Location 11001W broadwayFarmington, NM 87401 · Phone (505) 326-2695 · Fax (505) 327-5385

Other Providers at the Same Location NPPES 11

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

JOSHUA ATENCIO CSW
Behavior Technician
101 E BROADWAY AVE
BLOOMFIELD, NM 87413
San Juan County (505) 330-8220
TELECIA CROCKETT
Community Health Worker
101 E BROADWAY AVE
BLOOMFIELD, NM 87413
San Juan County (505) 330-8220
SADIE L SMITH-MCDANIEL LCSW
Social Worker (Clinical)
101 E BROADWAY AVE
BLOOMFIELD, NM 87413
San Juan County (505) 330-8220
OFERANDA POYER MSW
Social Worker
101 E BROADWAY AVE
BLOOMFIELD, NM 87413
San Juan County (505) 330-8220
MR. BRANDON IRA CROCKETT
Community Health Worker
101 E BROADWAY AVE
BLOOMFIELD, NM 87413
San Juan County (505) 330-8220
SADIE L SMITH-MCDANIEL
Community/Behavioral Health
101 E BROADWAY AVE
BLOOMFIELD, NM 87413
San Juan County (505) 330-8220
TERRE G COBERLY
Counselor (Addiction (Substance Use Disorder))
101 E BROADWAY AVE
BLOOMFIELD, NM 87413
San Juan County (505) 330-8220
ANGEL PEAK COUNSELING, LLC
Counselor (Mental Health)
101 E BROADWAY AVE
BLOOMFIELD, NM 87413
San Juan County (505) 330-8220

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 Paula Jackson's NPI number?

The NPI number for Paula Jackson is 1578874574. It was assigned to this individual provider in the NPPES registry on June 24, 2010.

Where is Paula Jackson located?

Paula Jackson practices at 101 E Broadway Ave, Bloomfield, NM 87413. The listed phone number is (505) 330-8220.

What is Paula Jackson's specialty?

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

When was this NPI record last updated?

The NPPES record for Paula Jackson was last updated on July 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.