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SHELBY JACKSON
NPI 1891267910
Behavior Analyst in Virginia Beach, VA

Active since December 31, 2018
4001 VIRGINIA BEACH BLVD STE 117, VIRGINIA BEACH, VA 23452(916) 479-4328 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 18, 2025, May 26, 2022, Jan 14, 2022 and 2 more (5 updates tracked since 2019).

About Shelby Jackson NPPES

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

SHELBY JACKSON (NPI 1891267910) is an individual behavior analyst provider in Virginia Beach, Virginia and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1891267910
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameSHELBY JACKSON
Location Address4001 VIRGINIA BEACH BLVD STE 117Virginia Beach, VA 23452-1759
Mailing Address128 N Berwick CresVirginia Beach, VA 23452-2316 · (916) 479-4328
Phone(916) 479-4328
Sole ProprietorNo
Enumeration DateDecember 31, 2018
Last NPPES UpdateSeptember 18, 20255 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2025
✔ NPI 1891267910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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
4001 VIRGINIA BEACH BLVD STE 117, Virginia Beach, VA 23452
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Other Identifiers 1

Medicaid68-0396223CA

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.

CANDICE ELLIOTT
Assistant Behavior Analyst
4001 VIRGINIA BEACH BLVD STE 117
VIRGINIA BEACH, VA 23452
Virginia Beach City (855) 832-6727
JAYLA PATTON
Assistant Behavior Analyst
4001 VIRGINIA BEACH BLVD STE 117
VIRGINIA BEACH, VA 23452
Virginia Beach City (855) 832-6727
SARAH LACY OSBORNE
Behavior Technician
4001 VIRGINIA BEACH BLVD STE 117
VIRGINIA BEACH, VA 23452
Virginia Beach City (000) 000-0000
BLAIR LANE
Behavior Technician
4001 VIRGINIA BEACH BLVD STE 117
VIRGINIA BEACH, VA 23452
Virginia Beach City (855) 832-6727
JESSICA ANN WALKER
Behavior Technician
4001 VIRGINIA BEACH BLVD STE 117
VIRGINIA BEACH, VA 23452
Virginia Beach City (757) 296-2299
FLORENCE TINA WINN
Behavior Technician
4001 VIRGINIA BEACH BLVD STE 117
VIRGINIA BEACH, VA 23452
Virginia Beach City (855) 832-6727
HEIDI LANO LICUDAN
Assistant Behavior Analyst
4001 VIRGINIA BEACH BLVD STE 117
VIRGINIA BEACH, VA 23452
Virginia Beach City (855) 832-6727
DESIRAE NICOLE LEE
Assistant Behavior Analyst
4001 VIRGINIA BEACH BLVD STE 117
VIRGINIA BEACH, VA 23452
Virginia Beach City (757) 963-2741

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 Shelby Jackson's NPI number?

The NPI number for Shelby Jackson is 1891267910. It was assigned to this individual provider in the NPPES registry on December 31, 2018.

Where is Shelby Jackson located?

Shelby Jackson practices at 4001 Virginia Beach Blvd Ste 117, Virginia Beach, VA 23452. The listed phone number is (916) 479-4328.

What is Shelby 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 Shelby Jackson was last updated on September 18, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.