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Deactivated NPI 1811430671 Deactivated / Inactive NPI Male Practitioner

Jackson Fackrell

Behavior Technician • St George, UT

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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, Jackson Fackrell has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 28, 2016
NPI Deactivation Date January 31, 2022
Total Practice Duration ~6 Years of Practice (2016 – 2022)

Professional Overview & Biography Verified Profile Summary

Jackson Fackrell was a registered Behavior Technician practicing in St George, UT. Throughout an active medical career spanning 6 years, Jackson Fackrell provided care at the practice location at 1492 S SILICON WAY STE A until profile deactivation on 2022-01-31.

Practice Location & Contact Primary Location

Practice Address

1492 S Silicon Way Ste A

St George, UT 847707156

Telephone 4352758911
Fax 4352009442

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in St George, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 3.0 Yrs
Regional Practice Density
725 Specialists

Practicing in St George, UT (10627 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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Chelsea Edwards

Community Health Worker

NPI 1003349267
Kaila Posell

Community Health Worker

NPI 1003469776
Jan Hadlock

Community Health Worker

NPI 1013364934
Emily Smith

Community Health Worker

NPI 1013428879
Breanne Hyde

Community Health Worker

NPI 1013515170
Brittney Wadsworth

Community Health Worker

NPI 1023532801

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 January 31, 2022

Record deactivated on January 31, 2022

NPI Profile Active November 28, 2016

NPI status registered as active in NPPES database

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Updated Practice Location November 28, 2016

Registered at 1492 S SILICON WAY STE A, ST GEORGE, UT 847707156 (Tel: 4352758911)

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Updated Business Mailing Address November 28, 2016

Registered at 1492 S SILICON WAY STE A, ST GEORGE, UT 847707156 (Tel: 4352758911)

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Provider Name / Credentials Updated November 28, 2016

Recorded as JACKSON FACKRELL

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 28, 2016

Behavior Technician

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Initial NPI Registration & Enumeration November 28, 2016

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: 1811430671
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 28, 2016
Last Update: November 28, 2016
Deactivation Date: January 31, 2022

Mailing Address

1492 S Silicon Way Ste A

St George, UT 847707156

Phone: 4352758911

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.