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Deactivated NPI 1902531536 Deactivated / Inactive NPI Female Practitioner

Therese Marie Jackson , BCBA

Behavior Analyst • Frankfort, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Therese Jackson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 18, 2022
NPI Deactivation Date November 21, 2024
Total Practice Duration ~2 Years of Practice (2022 – 2024)

Professional Overview & Biography Verified Profile Summary

Therese Jackson, BCBA was a registered Behavior Analyst practicing in Frankfort, IL. Throughout an active medical career spanning 2 years, Therese Jackson provided care at the practice location at 10914 PEMBROOK CT until profile deactivation on 2024-11-21.

Practice Location & Contact Primary Location

Practice Address

10914 Pembrook Ct

Frankfort, IL 604238536

Telephone 7087726969

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Frankfort, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.3 Yrs
Regional Practice Density
24 Specialists

Practicing in Frankfort, IL (3105 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 Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License IL 1-21-5089

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.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated November 21, 2024

Record deactivated on November 21, 2024

NPI Profile Active July 18, 2022

NPI status registered as active in NPPES database

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Updated Practice Location July 18, 2022

Registered at 10914 PEMBROOK CT, FRANKFORT, IL 604238536 (Tel: 7087726969)

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Updated Business Mailing Address July 18, 2022

Registered at 10914 PEMBROOK CT, FRANKFORT, IL 604238536 (Tel: 7087726969)

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Provider Name / Credentials Updated July 18, 2022

Recorded as THERESE JACKSON, BCBA

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2022

Behavior Analyst (License #1-21-5089 in IL)

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Initial NPI Registration & Enumeration July 18, 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: 1902531536
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 18, 2022
Last Update: July 18, 2022
Deactivation Date: November 21, 2024

Mailing Address

10914 Pembrook Ct

Frankfort, IL 604238536

Phone: 7087726969

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.