Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1841737152 Individual Practitioner Male Practitioner

Keith Jackman

Behavior Technician • Palm Bay, FL

Professional Overview & Biography Verified Profile Summary

Keith Jackman is a registered healthcare professional specializing in Behavior Technician in Palm Bay, FL. Practice services are available at 880 VANTAGE ST SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

880 Vantage St Se

Palm Bay, FL 329094947

Telephone 3212920243

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Palm Bay, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
141 Specialists

Practicing in Palm Bay, FL (75895 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

Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
656410 (FL)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 24, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 24, 2017

Registered at 880 VANTAGE ST SE, PALM BAY, FL 329094947 (Tel: 3212920243)

📍
Updated Business Mailing Address January 24, 2017

Registered at 880 VANTAGE ST SE, PALM BAY, FL 329094947 (Tel: 3212920243)

👤
Provider Name / Credentials Updated January 24, 2017

Recorded as KEITH JACKMAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2017

Behavior Technician

🟢
Initial NPI Registration & Enumeration January 24, 2017

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: 1841737152
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 24, 2017
Last Update: January 24, 2017
Sole Proprietor: No

Mailing Address

880 Vantage St Se

Palm Bay, FL 329094947

Phone: 3212920243

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.