Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1891206389 Individual Practitioner Female Practitioner

Elizabeth Jackson

Behavior Analyst • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Elizabeth Jackson is a registered healthcare professional specializing in Behavior Analyst in Fort Wayne, IN. Practice services are available at 2270 LAKE AVE STE 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2270 Lake Ave Ste 101

Fort Wayne, IN 468055360

Telephone 2604445649

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Fort Wayne, IN

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

Practicing in Fort Wayne, IN (2160 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 IN 1-17-25512

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
Kaylee Gray

Behavior Technician

NPI 1013713379
Guadalupe Ruiz

Behavior Technician

NPI 1013891258
Wai Wai Tun

Behavior Technician

NPI 1023995610
Misty Caenepeel , BCBA

Behavior Analyst

NPI 1053993410

Board Certified Behavior Analyst

Shane Delaney

Behavior Technician

NPI 1063395168
Kenzie Kreider

Behavior Technician

NPI 1083596704

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 24, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 24, 2017

Registered at 2270 LAKE AVE STE 101, FORT WAYNE, IN 468055360 (Tel: 2604445649)

📍
Updated Business Mailing Address October 24, 2017

Registered at 2270 LAKE AVE STE 101, FORT WAYNE, IN 468055360

👤
Provider Name / Credentials Updated October 24, 2017

Recorded as ELIZABETH JACKSON

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

Behavior Analyst (License #1-17-25512 in IN)

🟢
Initial NPI Registration & Enumeration October 24, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1891206389
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 24, 2017
Last Update: October 24, 2017
Sole Proprietor: Yes

Mailing Address

2270 Lake Ave Ste 101

Fort Wayne, IN 468055360

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.