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Active NPI 1972767994 Individual Practitioner Female Practitioner

Tammy Jackson , BCBA, LBA, MBA

Behavior Analyst • Cheshire, CT

Professional Overview & Biography Verified Profile Summary

Tammy Jackson, BCBA, LBA, MBA is a registered healthcare professional specializing in Behavior Analyst in Cheshire, CT. Practice services are available at 150 VICTORIA DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

150 Victoria Dr

Cheshire, CT 064107126

Telephone 2038192025
Associated Practice Facility / Clinic
🏢 Fun 2b Free Llc Facility NPI 1982201927

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Cheshire, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.0 Yrs
Regional Practice Density
33 Specialists

Practicing in Cheshire, CT (1366 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: 2021-02-08
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License CT 1-09-5870

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.

Secondary Practice Locations

1764 Litchfield Tpke

Woodbridge, CT 065252353

Phone: 2038870673

556 New Park Ave Ste A

West Hartford, CT 061101317

Phone: 6052712690

Practice Associates & Co-Workers

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

1 Associated Practitioners
Kayla Hettrick , BCBA

Behavior Analyst

NPI 1679266977

Board Certified Behavior Analyst

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location February 08, 2021

Registered at 150 VICTORIA DR, CHESHIRE, CT 064107126 (Tel: 2038192025)

📍
Updated Business Mailing Address February 08, 2021

Registered at 150 VICTORIA DR, CHESHIRE, CT 064107126 (Tel: 2038192025)

👤
Provider Name / Credentials Updated February 08, 2021

Recorded as TAMMY JACKSON, BCBA, LBA, MBA

📍
Updated Practice Location May 10, 2019

Registered at 556 NEW PARK AVE STE A, WEST HARTFORD, CT 061101317 (Tel: 6052712690)

📍
Updated Business Mailing Address May 10, 2019

Registered at 1105 W RUSSELL ST, SIOUX FALLS, SD 571041322 (Tel: 6052712690)

👤
Provider Name / Credentials Updated May 10, 2019

Recorded as TAMMY JACKSON, BCBA

NPI Profile Active October 19, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location October 19, 2011

Registered at 1764 LITCHFIELD TPKE, WOODBRIDGE, CT 065252353 (Tel: 2038870673)

📍
Updated Business Mailing Address October 19, 2011

Registered at 1025 SUMNER AVE, SPRINGFIELD, MA 011182147 (Tel: 2038870673)

👤
Provider Name / Credentials Updated October 19, 2011

Recorded as TAMMY LAGO-JACKSON, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2011

Behavior Analyst (License #1-09-5870 in CT)

🟢
Initial NPI Registration & Enumeration July 18, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1972767994
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 18, 2008
Last Update: February 08, 2021
Sole Proprietor: No

Mailing Address

150 Victoria Dr

Cheshire, CT 064107126

Phone: 2038192025

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.