Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1891267910 Individual Practitioner Female Practitioner

Shelby Jackson

Behavior Analyst • Virginia Beach, VA

Professional Overview & Biography Verified Profile Summary

Shelby Jackson is a registered healthcare professional specializing in Behavior Analyst in Virginia Beach, VA. Practice services are available at 4001 VIRGINIA BEACH BLVD STE 117 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4001 Virginia Beach Blvd Ste 117

Virginia Beach, VA 234521759

Telephone 9164794328

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Virginia Beach, VA

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

Practicing in Virginia Beach, 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: 2025-09-18
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.

Behavior Technician

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
68-0396223 (CA)

Practice Associates & Co-Workers

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

27 Associated Practitioners
Keyonna Warren

Behavior Technician

NPI 1023937836
Ajaya-Kamari Barnhardt , BA

Assistant Behavior Analyst

NPI 1033071162

Bachelor of Arts

Earl Morton

Behavior Technician

NPI 1043160096
Florence Winn

Behavior Technician

NPI 1124905005
Jessica Walker

Behavior Technician

NPI 1124917984
Dejah Gates

Assistant Behavior Analyst

NPI 1184417800

Career & Practice History Timeline

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

15 Historical Events
📍
Updated Practice Location September 18, 2025

Registered at 4001 VIRGINIA BEACH BLVD STE 117, VIRGINIA BEACH, VA 234521759 (Tel: 9164794328)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2025

Behavior Analyst

👤
Provider Name / Credentials Updated May 26, 2022

Recorded as SHELBY JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 26, 2022

Behavior Technician

📍
Updated Practice Location January 14, 2022

Registered at 4870 SADLER RD, SUITE #300, GLEN ALLEN, VA 230606294 (Tel: 9164794328)

📍
Updated Practice Location August 29, 2020

Registered at 5151 BONNEY RD, VIRGINIA BEACH, VA 234624384 (Tel: 7572221315)

📍
Updated Business Mailing Address August 29, 2020

Registered at 128 N BERWICK CRES, VIRGINIA BEACH, VA 234522316 (Tel: 9164794328)

👤
Provider Name / Credentials Updated August 29, 2020

Recorded as SHELBY WISDOM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 29, 2020

Behavior Analyst

NPI Profile Active January 03, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location January 03, 2019

Registered at 236 GEORGIA ST, VALLEJO, CA 945905991 (Tel: 8885445553)

📍
Updated Business Mailing Address January 03, 2019

Registered at 8641 LODESTONE CIR, ELK GROVE, CA 956242517 (Tel: 9164794328)

👤
Provider Name / Credentials Updated January 03, 2019

Recorded as SHELBY WISOM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2019

Behavior Technician

🟢
Initial NPI Registration & Enumeration December 31, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1891267910
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 31, 2018
Last Update: September 18, 2025
Sole Proprietor: No

Mailing Address

128 N Berwick Cres

Virginia Beach, VA 234522316

Phone: 9164794328

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.