Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1023761624 Individual Practitioner Female Practitioner

Mikaela Jackson

Behavior Analyst • Land O Lakes, FL

Professional Overview & Biography Verified Profile Summary

Mikaela Jackson is a registered healthcare professional specializing in Behavior Analyst in Land O Lakes, FL. Practice services are available at 2688 STONEWOOD PARK LOOP under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2688 Stonewood Park Loop

Land O Lakes, FL 346386210

Telephone 8134819662
Fax 8137042600
Associated Practice Facility / Clinic
🏢 Perspektiv, Llc Facility NPI 1235877325

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Land O Lakes, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
22 Specialists

Practicing in Land O Lakes, FL (13679 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: 2022-05-24
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Registered Behavior Therapist
RBT-22-200280

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1023833118

BEHAVIORTECHNICIAN

Kesandra Jackson

Behavior Technician

NPI 1033993092
Shuana Davis

Behavior Technician

NPI 1043061278
John Ramos

Behavior Technician

NPI 1043909575
Mikaela Iacobucci

Behavior Technician

NPI 1053939249
Tyler Kernohan

Behavior Technician

NPI 1063341147

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location May 24, 2022

Registered at 2688 STONEWOOD PARK LOOP, LAND O LAKES, FL 346386210 (Tel: 8134819662)

📍
Updated Business Mailing Address May 24, 2022

Registered at 5212 BRIGHTON SHORE DR, APOLLO BEACH, FL 335723317 (Tel: 8134594660)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 24, 2022

Behavior Analyst

NPI Profile Active February 02, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location February 02, 2022

Registered at 15 N STEWART ST, QUINCY, FL 323512335 (Tel: 8508752180)

📍
Updated Business Mailing Address February 02, 2022

Registered at 15 N STEWART ST, QUINCY, FL 323512335 (Tel: 8508752180)

👤
Provider Name / Credentials Updated February 02, 2022

Recorded as MIKAELA JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2022

Behavior Technician

🟢
Initial NPI Registration & Enumeration February 02, 2022

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: 1023761624
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 02, 2022
Last Update: May 24, 2022
Sole Proprietor: No

Mailing Address

5212 Brighton Shore Dr

Apollo Beach, FL 335723317

Phone: 8134594660

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.