Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376012609 Individual Practitioner Female Practitioner

Stacy Ann Jackson , N, A

Behavior Analyst • Salem, OR

Professional Overview & Biography Verified Profile Summary

Stacy Jackson, N, A is a registered healthcare professional specializing in Behavior Analyst in Salem, OR. Practice services are available at 3762 AMBER ST NE APT 102 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3762 Amber St Ne Apt 102

Salem, OR 973016883

Telephone 9712392390

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Salem, OR

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

Practicing in Salem, 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

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.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 15, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location November 15, 2018

Registered at 3762 AMBER ST NE APT 102, SALEM, OR 973016883 (Tel: 9712392390)

📍
Updated Business Mailing Address November 15, 2018

Registered at 3400 STATE ST STE 750, SALEM, OR 973015861 (Tel: 9712737502)

👤
Provider Name / Credentials Updated November 15, 2018

Recorded as STACY JACKSON, N/A

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2018

Behavior Analyst

🟢
Initial NPI Registration & Enumeration November 15, 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: 1376012609
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 15, 2018
Last Update: November 15, 2018
Sole Proprietor: Yes

Mailing Address

3400 State St Ste 750

Salem, OR 973015861

Phone: 9712737502

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.