Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY JACKSON
ActiveMARY JACKSON is a Behavior Analyst healthcare provider located in GLEN CARBON, Illinois. NPI 1275144149 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · GLEN CARBON, IL
Registration Details
- NPI Number
- 1275144149
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 13, 2020 (5.9777709870218 yrs)
- Last Updated
- Jul 3, 2023
- License
-
1-21-57035 (IL)
Practice Information
- Address
-
4559 BENES AVEGLEN CARBON, IL, 620341541Browse IL providers · Browse ZIP 62034
- Phone
- 2175258332
- Primary Specialty
-
Behavior Analyst
103K00000X
- Additional Specialty
- Assistant Behavior Analyst
Other Behavior Analyst Providers in GLEN CARBON, IL
| Name | Credential | NPI |
|---|---|---|
| ABIGAIL K FLAUGHER | BCBA | 1396238358 |
| JORDYN M JOHNSON | BCBA | 1063907855 |
| REBEKAH CARTER | — | 1760043236 |
| REESE MICHAEL RINALDI | LBA, BCBA | 1629793799 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.