TANISHA R JACKSON
NPI 1750865218
Behavior Analyst in Oakland, CA

Q: What is Tanisha Jackson's NPI number?

The NPI number for Tanisha Jackson is 1750865218. It was assigned to this individual provider in the NPPES registry on September 20, 2018.

Q: What is Tanisha 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 Tanisha Jackson was last updated on February 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 September 20, 2018

180 GRAND AVE STE 225, OAKLAND, CA 94612(510) 506-7910 Get Directions Write a Review

NPPES record last updated: February 8, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 8, 2022, Sep 20, 2018 (2 updates tracked since 2018).

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About Tanisha R Jackson NPPES

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

TANISHA R JACKSON (NPI 1750865218) is an individual behavior analyst provider in Oakland, California, licensed in California (1-21-54408) and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1750865218

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameTANISHA R JACKSON

Location Address180 GRAND AVE STE 225Oakland, CA 94612-3769

Mailing Address180 Grand Ave Ste 225Oakland, CA 94612-3769 · (510) 506-7910

Phone(510) 506-7910

Sole ProprietorNo

Enumeration DateSeptember 20, 2018

Last NPPES UpdateFebruary 8, 20222 updates tracked since enumeration

NPPES CertifiedNovember 29, 2021

✔ NPI 1750865218 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 CA · 1-21-54408

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.

180 GRAND AVE STE 225, Oakland, CA 94612

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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.

BRIAN GONSALEZ

Behavior Technician