JACQUELINE LANDA JACKSON M.ED., BCBA
NPI 1861083909
Behavior Analyst in Charlotte, NC

Q: What is Jacqueline Jackson's NPI number?

The NPI number for Jacqueline Jackson is 1861083909. It was assigned to this individual provider in the NPPES registry on February 1, 2021.

Q: What is Jacqueline Jackson's specialty?

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

Active since February 01, 2021

901 W TRADE ST, CHARLOTTE, NC 28202(718) 736-5689 Get Directions Write a Review

NPPES record last updated: August 4, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jacqueline Landa Jackson M.ed., Bcba NPPES

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

JACQUELINE LANDA JACKSON M.ED., BCBA (NPI 1861083909) is an individual behavior analyst provider in Charlotte, North Carolina, licensed in Connecticut (1123) and active in the NPI registry since February 2021. She maintains a secondary practice location in Palm Bay.

NPPES Registry Identity

NPI1861083909

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameJACQUELINE LANDA JACKSONCredential: M.ED., BCBA

Location Address901 W TRADE STCharlotte, NC 28202-1143

Mailing Address2560 Judge Fran Jamieson Way Unit 1309Melbourne, FL 32940-6199 · (860) 759-8726

Phone(718) 736-5689

Sole ProprietorNo

Enumeration DateFebruary 1, 2021

Last NPPES UpdateAugust 4, 2023

NPPES CertifiedAugust 4, 2023

✔ NPI 1861083909 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 CT · 1123

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.

901 W TRADE ST, Charlotte, NC 28202

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Secondary Practice Location 1

Location 14640 Lipscomb St NE Ste 4Palm Bay, FL 32905-2986 · Phone (321) 327-4037

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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.

CARA E MARTIN

Behavior Technician