Individual provider · Type 1 NPI

Alyssa Marie Jackson

Developmental Therapist · Worcester, MA

NPI number 1588091789 Active

Practice location

345A Greenwood St
Worcester, MA 01607-1753

Call (508) 363-0200 Map

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst 103K00000XNone listed
Behavior Technician 106S00000XNone listed
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1588091789

Alyssa Marie Jackson's National Provider Identifier is 1588091789, issued on Oct 2, 2013. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Worcester, MA. The record was last updated on Aug 11, 2026.