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JESSICA JACKSON
NPI 1770940975
Behavior Analyst in Southfield, MI

Active since January 20, 2016
24024 EVERGREEN RD APT 108A, SOUTHFIELD, MI 48075(313) 318-8618 Get Directions Write a Review

NPPES record last updated: February 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 23, 2021, Jan 20, 2016 (2 updates tracked since 2016).

About Jessica Jackson NPPES

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

JESSICA JACKSON (NPI 1770940975) is an individual behavior analyst provider in Southfield, Michigan and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1770940975
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameJESSICA JACKSON
Location Address24024 EVERGREEN RD APT 108ASouthfield, MI 48075-5517
Mailing Address31188 Misty Pines DrFarmington Hills, MI 48336-1256 · (248) 885-7613
Phone(313) 318-8618
Sole ProprietorNo
Enumeration DateJanuary 20, 2016
Last NPPES UpdateFebruary 23, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2021
✔ NPI 1770940975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedBehavior TechnicianTaxonomy 106S00000X
Also ListedTechnician, OtherTaxonomy 247200000X
24024 EVERGREEN RD APT 108A, Southfield, MI 48075
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Other Providers at the Same Location NPPES

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

LATRENNIA EVETTE PERKINS
Community Health Worker
24024 EVERGREEN RD APT 108A
SOUTHFIELD, MI 48075
Oakland County (313) 721-5877

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 Jessica Jackson's NPI number?

The NPI number for Jessica Jackson is 1770940975. It was assigned to this individual provider in the NPPES registry on January 20, 2016.

Where is Jessica Jackson located?

Jessica Jackson practices at 24024 Evergreen Rd Apt 108A, Southfield, MI 48075. The listed phone number is (313) 318-8618.

What is Jessica 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 Jessica Jackson was last updated on February 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.