Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1750865218 Individual Practitioner Female Practitioner

Tanisha R Jackson

Behavior Analyst • Oakland, CA

Professional Overview & Biography Verified Profile Summary

Tanisha Jackson is a registered healthcare professional specializing in Behavior Analyst in Oakland, CA. Practice services are available at 180 GRAND AVE STE 225 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

180 Grand Ave Ste 225

Oakland, CA 946123769

Telephone 5105067910

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Oakland, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.8 Yrs
Regional Practice Density
366 Specialists

Practicing in Oakland, CA (20508 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-11-29
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License CA 1-21-54408

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. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

31 Associated Practitioners
Brian Gonsalez

Behavior Technician

NPI 1003371055
Maria Huertascano

Behavior Technician

NPI 1003455015
Jennifer Rogers , LMT

Behavior Technician

NPI 1043757172

Licensed Massage Therapist

Glennisha White , BCBA

Behavior Analyst

NPI 1073097374

Board Certified Behavior Analyst

Valencia Webster

Behavior Technician

NPI 1114402666
Phille Spartacus Agustin

Behavior Technician

NPI 1154897288

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 08, 2022

Behavior Analyst (License #1-21-54408 in CA)

NPI Profile Active September 20, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location September 20, 2018

Registered at 180 GRAND AVE STE 225, OAKLAND, CA 946123769 (Tel: 5105067910)

📍
Updated Business Mailing Address September 20, 2018

Registered at 180 GRAND AVE STE 225, OAKLAND, CA 946123769 (Tel: 5105067910)

👤
Provider Name / Credentials Updated September 20, 2018

Recorded as TANISHA JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 20, 2018

Behavior Technician

🟢
Initial NPI Registration & Enumeration September 20, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750865218
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 20, 2018
Last Update: February 08, 2022
Sole Proprietor: No

Mailing Address

180 Grand Ave Ste 225

Oakland, CA 946123769

Phone: 5105067910

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.