Individual provider · Type 1 NPI

Mary Jackson

Behavior Analyst · Glen Carbon, IL

NPI number 1275144149 Active

Practice location

4559 Benes Ave
Glen Carbon, IL 62034-1541

Call (217) 525-8332 Map

Other practice locations

  • 6 Eagle Ctr Ste 1, O Fallon, IL 62269-1945 · (618) 206-8816
  • 400 Saint Louis St Ste 1, Edwardsville, IL 62025-1979 · (618) 226-4397

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000X1-21-57035 (IL)
Assistant Behavior Analyst 106E00000XNone listed

Behavior Analyst: 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…

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About NPI 1275144149

Mary Jackson's National Provider Identifier is 1275144149, issued on Aug 13, 2020. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Glen Carbon, IL. The record was last updated on Jul 3, 2023.