Kaitlynn F Jackson, M.A., BCBA, LABA
Individual provider Active NPI Behavior Analyst · Rochester, MA
NPI 1033853403 · NPPES record last updated Oct 17, 2023
Key facts
- NPI
- 1033853403
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 31 Hiller Rd
Rochester, MA 02770-4024 - Phone
- (774) 454-1994
- Fax
- (508) 273-2353
- NPI assigned
- Apr 22, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gateway ABA Therapy LLC | Behavior Analyst | Current |
Accepting new patients |
Locations
53 Marion Rd
Unit 2
Wareham, MA 02571
Phone (774) 454-1994
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
31 Hiller Rd
Rochester, MA 02770-4024
Mailing address
53 Marion Rd Unit 2
Wareham, MA 02571-1406
Phone (774) 454-1994
Other providers in Rochester, MA
- Sarah Alexis Hasbrouck
- Janelle Hopkins
- Keith Andrew Hovan
- Delaney Gale Hughes
- Michelle Humphrey
- Amanda Jochim
- Christie Ann Jones
- Naomi Keeney
- Bukhtawar Khalid
- Heather Kidney
All providers in Rochester, MA · Behavior Analyst in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.