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ELIZABETH JACKSON
NPI 1891206389
Behavior Analyst in Fort Wayne, IN

Active since October 24, 2017
2270 LAKE AVE STE 101, FORT WAYNE, IN 46805(260) 444-5649 Get Directions Write a Review

NPPES record last updated: October 24, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Elizabeth Jackson NPPES

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

ELIZABETH JACKSON (NPI 1891206389) is an individual behavior analyst provider in Fort Wayne, Indiana, licensed in Indiana (1-17-25512) and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1891206389
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameELIZABETH JACKSON
Location Address2270 LAKE AVE STE 101Fort Wayne, IN 46805-5360
Mailing Address2270 Lake Ave Ste 101Fort Wayne, IN 46805-5360
Phone(260) 444-5649
Sole ProprietorYes
Enumeration DateOctober 24, 2017
✔ NPI 1891206389 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 IN · 1-17-25512
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.
2270 LAKE AVE STE 101, Fort Wayne, IN 46805
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Other Providers at the Same Location NPPES 5

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

REBEKAH MARIE LEEMREIS MA, BCBA
Behavior Analyst
2270 LAKE AVE STE 101
FORT WAYNE, IN 46805
Allen County (260) 444-5649
JOHN SHEEHAN
Behavior Analyst
2270 LAKE AVE STE 101
FORT WAYNE, IN 46805
Allen County (260) 444-5649
AATIA KARIM MS, RBT, MHA
Behavior Technician
2270 LAKE AVE STE 101
FORT WAYNE, IN 46805
Allen County (260) 444-5649
CHELSEA WAHL-BRIDGE
Behavior Analyst
2270 LAKE AVE STE 101
FORT WAYNE, IN 46805
Allen County (260) 444-5649
ALICIA RENEE FRICK
Behavior Analyst
2270 LAKE AVE STE 101
FORT WAYNE, IN 46805
Allen County (260) 444-5649

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 Elizabeth Jackson's NPI number?

The NPI number for Elizabeth Jackson is 1891206389. It was assigned to this individual provider in the NPPES registry on October 24, 2017.

Where is Elizabeth Jackson located?

Elizabeth Jackson practices at 2270 Lake Ave Ste 101, Fort Wayne, IN 46805. The listed phone number is (260) 444-5649.

What is Elizabeth Jackson's specialty?

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

What insurance does Elizabeth Jackson accept?

Health plans from CareSource list Elizabeth 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 Elizabeth Jackson was last updated on October 24, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.