Deaundra Brisha Jackson, M.A

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

11938110 Issued in FL

Practice address

8219 Front Beach Rd Ste B # 2148
Panama City Beach, FL 32407-4822

Phone

(850) 427-3079

NPI assigned

Jun 30, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Behavioral and Life Connections

  • Behavior Analyst
  • Panama City Beach, FL
  • NPI 1457946238
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736035200000",
    "number": "1013368026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5812",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324475812",
            "telephone_number": "850-427-3079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8219 FRONT BEACH RD STE B # 2148",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324074822",
            "telephone_number": "850-427-3079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "DEAUNDRA",
        "middle_name": "BRISHA",
        "credential": "M.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-30",
        "last_updated": "2025-01-05",
        "certification_date": "2025-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "11938110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inspire Wellness Services LLC
• Shea Kristen Irvine
• Sheyda Isazadeh-Khaylani, DC
• J Grant Shuflitowski MD PA Gulf View Family Medical Center
• J L L MD Inc
• Heather Jackson, LMHC
• Renese Jackson, PHARMD
• Thomas Albert Jacobson, M.D.
• Timothy Scott Jarrett
• Jessica Jaworski, ARNP, NP-C

• Behavior Analyst in Panama City Beach, FL
• Providers in Panama City Beach, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.