Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CARRIE RAE JACKSON, MS, BCBA

Active

Cognitive & Behavioral Psychologist · GIBSONIA, PA

Registration Details

NPI Number: 1588935258
Provider Type: Individual
Gender: Female
NPI Issued: Jan 26, 2012 (14.278153111343 yrs)
Last Updated: Jan 26, 2012
License: 1-05-2589 (PA)

Practice Information

Address: 10715 BABCOCK BLVD

GIBSONIA, PA, 150448977
Browse PA providers · Browse ZIP 15044
Phone: 4124989128
Fax: 7245024510
Primary Specialty: Cognitive & Behavioral Psychologist
103TB0200X

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.