Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497058697 Individual Practitioner Female Practitioner

Jacquelin Antoinette Jackson

Behavior Analyst • Fairfax, VA

Professional Overview & Biography Verified Profile Summary

Jacquelin Jackson is a registered healthcare professional specializing in Behavior Analyst in Fairfax, VA. Practice services are available at 11240 WAPLES MILL RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11240 Waples Mill Rd
101

Fairfax, VA 220306078

Telephone 7032372219
Associated Practice Facility / Clinic
🏢 N & L Enterprise Inc Facility NPI 1285618405

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Fairfax, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
109 Specialists

Practicing in Fairfax, VA (2797 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: 2021-08-03
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License FL 1-11-8474

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
Rachel Koenig

Student in an Organized Health Care Education/Training Program

NPI 1003246562
Karmen Caylor

Behavior Technician

NPI 1003465188
Alanah Haugabrook

Behavior Technician

NPI 1003606716
Sarah Tatlonghari

Occupational Therapist - Pediatrics

NPI 1013310119
Kinjal Nana

Behavior Technician

NPI 1013455591
Erika Gray

Student in an Organized Health Care Education/Training Program

NPI 1023450202

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active April 07, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 07, 2017

Registered at 11240 WAPLES MILL RD, 101, FAIRFAX, VA 220306078 (Tel: 7032372219)

📍
Updated Business Mailing Address April 07, 2017

Registered at 11240 WAPLES MILL RD, 101, FAIRFAX, VA 220306078

👤
Provider Name / Credentials Updated April 07, 2017

Recorded as JACQUELIN JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 07, 2017

Behavior Analyst (License #1-11-8474 in FL)

NPI Profile Active July 13, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location July 13, 2011

Registered at 8001 SW 36TH ST, SUITE 9, DAVIE, FL 333281915 (Tel: 9545777790)

📍
Updated Business Mailing Address July 13, 2011

Registered at 8001 SW 36TH ST, SUITE 9, DAVIE, FL 333281915 (Tel: 9545777790)

👤
Provider Name / Credentials Updated July 13, 2011

Recorded as JACQUELIN JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2011

Behavior Analyst (License #1-11-8474 in FL)

🟢
Initial NPI Registration & Enumeration December 09, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Jacquelin Jackson. Be the first to share your experience!

Sign in to leave a review for Jacquelin Jackson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1497058697
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 09, 2010
Last Update: August 03, 2021
Sole Proprietor: No

Mailing Address

11240 Waples Mill Rd, 101

Fairfax, VA 220306078

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.