Tammy Jackson, BCBA, LBA, MBA

Behavior Analyst · Cheshire, CT

Individual Active NPI

NPI number 1972767994

Practice location

150 Victoria Dr
Cheshire, CT 06410-7126
Phone
(203) 819-2025

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NPI record

NPI
1972767994
Entity type
Individual (Type 1)
Enumeration date
July 18, 2008
Last updated
February 8, 2021
Certified
February 8, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X 1-09-5870 CT

Other practice locations (2)

  • 1764 Litchfield Tpke, Woodbridge, CT 06525-2353 · (203) 887-0673
  • 556 New Park Ave Ste A, West Hartford, CT 06110-1317 · (605) 271-2690

About Tammy Jackson

Tammy Jackson, BCBA, LBA, MBA is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 150 Victoria Dr, Cheshire, CT 06410-7126. The NPI number 1972767994 was assigned on July 18, 2008 and the record was last updated on February 8, 2021.

Tammy Jackson lists a license in the registry: #1-09-5870 (CT) for Behavior Analyst. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Tammy Jackson, BCBA, LBA, MBA?

The NPI number is 1972767994.

What is the phone number of Tammy Jackson?

The phone number listed for the practice location is (203) 819-2025.

Where is Tammy Jackson located?

150 Victoria Dr, Cheshire, CT 06410-7126.

What is the taxonomy code for Tammy Jackson?

The primary taxonomy code is 103K00000X – Behavior Analyst.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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