Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. STACY ANN JACKSON, N/A
Active Sole ProprietorMS. STACY ANN JACKSON, N/A is a Behavior Analyst healthcare provider located in SALEM, Oregon. NPI 1376012609 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · SALEM, OR
Registration Details
- NPI Number
- 1376012609
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 15, 2018 (7.7046616019487 yrs)
- Last Updated
- Nov 15, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
3762 AMBER ST NE APT 102SALEM, OR, 973016883Browse OR providers · Browse ZIP 97301
- Phone
- 9712392390
- Primary Specialty
-
Behavior Analyst
103K00000X
Other Behavior Analyst Providers in SALEM, OR
| Name | Credential | NPI |
|---|---|---|
| TAMARA SIMONSEN | QMHA | 1043547862 |
| LINDSIE JONES | — | 1043577075 |
| TAMERA JESSEN-IVERSON | — | 1245591437 |
| BRITTANY ASHTON BALDWIN | QMHA | 1043563208 |
| MRS. KRISTEN HOSIE | MS, CCSOT, BCBA | 1164767505 |
| MARIA KUNZ | — | 1609112382 |
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.