Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1548753700 Individual Practitioner Female Practitioner

Holly Jean Jackson , MED, BCBA

Behavior Analyst • Bend, OR

Professional Overview & Biography Verified Profile Summary

Holly Jackson, MED, BCBA is a registered healthcare professional specializing in Behavior Analyst in Bend, OR. Practice services are available at 19800 VILLAGE OFFICE CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

19800 Village Office Ct

Bend, OR 977021872

Telephone 5414802570
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Bend, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 5.0 Yrs
Regional Practice Density
39 Specialists

Practicing in Bend, OR (1444 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: 2023-08-08
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 Behavior Analyst Certification Board
1-23-66904 (OR)

Practice Associates & Co-Workers

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

9 Associated Practitioners
Duncan Schramm

Behavior Technician

NPI 1285183509
Kyla Szelag

Behavior Technician

NPI 1316445000
Lauren Crane

Behavior Technician

NPI 1417423831
NPI 1467696989

Master of Science, Board Certified Behavior Analyst

Nick Goldin

Behavior Technician

NPI 1639865231
Tabbitha Roberts

Behavior Technician

NPI 1659881902

Career & Practice History Timeline

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

9 Historical Events
👤
Provider Name / Credentials Updated August 08, 2023

Recorded as HOLLY JACKSON, M.ED, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2023

Behavior Analyst

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 08, 2022

Behavior Analyst (License #ABA-AB-10225705 in OR)

NPI Profile Active June 12, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location June 12, 2018

Registered at 19800 VILLAGE OFFICE CT, BEND, OR 977021872 (Tel: 5414802570)

📍
Updated Business Mailing Address June 12, 2018

Registered at PO BOX 1432, BEND, OR 977091432 (Tel: 5414802570)

👤
Provider Name / Credentials Updated June 12, 2018

Recorded as HOLLY JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2018

Behavior Technician (License #ABA-IN-10192155 in OR)

🟢
Initial NPI Registration & Enumeration June 12, 2018

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: 1548753700
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 12, 2018
Last Update: August 08, 2023
Sole Proprietor: No

Mailing Address

Po Box 1432

Bend, OR 977091432

Phone: 5414802570

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.