Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALYSSA RAUDEBAUGH-JACKSON, BCBA
ActiveALYSSA RAUDEBAUGH-JACKSON, BCBA is a Behavior Analyst healthcare provider located in PORT ST. LUCIE, Florida. NPI 1700426053 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · PORT ST. LUCIE, FL
Registration Details
- NPI Number
- 1700426053
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 14, 2020 (6.5674089750663 yrs)
- Last Updated
- Dec 8, 2022
- License
-
1-22-62662 (FL)
Practice Information
- Address
-
247 SW PORT ST. LUCIE BLVDPORT ST. LUCIE, FL, 34984Browse FL providers · Browse ZIP 34984
- Primary Specialty
-
Behavior Analyst
103K00000X
- Additional Specialty
- Behavior Analyst
Other Behavior Analyst Providers in PORT ST. LUCIE, FL
| Name | Credential | NPI |
|---|---|---|
| MS. KERRY SULLIVAN JONES | — | 1154638369 |
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.