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Active NPI 1487956249 Individual Practitioner Female Practitioner

Staci Jackson , BCBA

Behavior Analyst • Van Nuys, CA

Professional Overview & Biography Verified Profile Summary

Staci Jackson, BCBA is a registered healthcare professional specializing in Behavior Analyst in Van Nuys, CA. Practice services are available at 7226 SEPULVEDA BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7226 Sepulveda Blvd

Van Nuys, CA 914052003

Telephone 8182351414
Fax 8182351418
Associated Practice Facility / Clinic
🏢 A Change In Trajectory, Inc. Facility NPI 1750646667

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Van Nuys, CA

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

Practicing in Van Nuys, 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: 2021-06-24
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License None 1-07-3619

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

40 Associated Practitioners
Andrea Hernandez

Student in an Organized Health Care Education/Training Program

NPI 1003375171
David Bravo , PSYCHOLOGY BA

Behavior Technician

NPI 1003424789

PSYCHOLOGYBA

Autiana Hall

Behavior Technician

NPI 1003515339
Brian Bodt

Behavior Technician

NPI 1003558099
Garrett Hill

Behavior Technician

NPI 1003671678
Deanna Hunt

Behavior Technician

NPI 1003690421

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location June 24, 2021

Registered at 7226 SEPULVEDA BLVD, VAN NUYS, CA 914052003 (Tel: 8182351414)

📍
Updated Business Mailing Address June 24, 2021

Registered at 7226 SEPULVEDA BLVD, VAN NUYS, CA 914052003 (Tel: 8182351414)

👤
Provider Name / Credentials Updated June 24, 2021

Recorded as STACI JACKSON, BCBA

NPI Profile Active June 11, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location June 11, 2013

Registered at 16946 SHERMAN WAY, #200, VAN NUYS, CA 914063613 (Tel: 8182351414)

📍
Updated Business Mailing Address June 11, 2013

Registered at 16946 SHERMAN WAY, #200, VAN NUYS, CA 914063613 (Tel: 8182351414)

👤
Provider Name / Credentials Updated June 11, 2013

Recorded as STACI MIZOKAMI, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2013

Behavior Analyst (License #1-07-3619 in None)

🟢
Initial NPI Registration & Enumeration November 30, 2010

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: 1487956249
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 30, 2010
Last Update: June 24, 2021
Sole Proprietor: No

Mailing Address

7226 Sepulveda Blvd

Van Nuys, CA 914052003

Phone: 8182351414

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.