Active NPI
Jessica Jackson
- Behavior Analyst
- Philadelphia, PA
National Provider Identifier
1043123516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BH008644
- Practice address
- 1741 Mohican St
Philadelphia, PA 19138-1115 - Phone
- (267) 266-7238
- NPI assigned
- Sep 25, 2026
- Last updated
- Sep 25, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | BH008644 | PA | Primary |
Addresses
Primary practice location
1741 Mohican St
Philadelphia, PA 19138-1115
Mailing address
1741 Mohican St
Philadelphia, PA 19138-1115
Phone (267) 266-7238
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790294400000",
"number": "1043123516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1741 MOHICAN ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191381115",
"telephone_number": "267-266-7238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1741 MOHICAN ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191381115",
"telephone_number": "267-266-7238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "JESSICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-25",
"last_updated": "2026-09-25",
"certification_date": "2026-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "PA",
"license": "BH008644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.