Individual provider · Type 1 NPI

Alyssa Raudebaugh-Jackson, BCBA

Behavior Analyst · Port St. Lucie, FL

NPI number 1700426053 Active

Practice location

247 SW Port St. Lucie Blvd
Port St. Lucie, FL 34984

Mailing address

300 International Parkway Suite 200
Lake Mary, FL 32746

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Behavior Analyst Primary 103K00000X1-22-62662 (FL)

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 1700426053

Alyssa Raudebaugh-Jackson, BCBA's National Provider Identifier is 1700426053, issued on Jan 14, 2020. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Port St. Lucie, FL. The record was last updated on Dec 8, 2022.