Active NPI
Toneya Jackson
- Behavior Analyst
- Brooklyn, NY
National Provider Identifier
1053139253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 2665740
- Practice address
- 196 Jefferson St Apt 3R
Brooklyn, NY 11206-6338 - Phone
- (646) 510-7528
- NPI assigned
- Sep 27, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 2665740 | NY | Primary |
Addresses
Primary practice location
196 Jefferson St Apt 3R
Brooklyn, NY 11206-6338
Mailing address
196 Jefferson St Apt 3R
Brooklyn, NY 11206-6338
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2665740 | NY | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727395200000",
"number": "1053139253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "196 JEFFERSON ST APT 3R",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112066338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "196 JEFFERSON ST APT 3R",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112066338",
"telephone_number": "646-510-7528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "TONEYA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-27",
"last_updated": "2024-09-27",
"certification_date": "2024-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "2665740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.