Katlyn Davis Jackson, M.ED, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

2100 Liberty Rd
Lexington, KY 40509-4319

Phone

(859) 447-2309

NPI assigned

Sep 16, 2022

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 Education

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1104548031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 LIBERTY RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405094319",
            "telephone_number": "859-447-2309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 LIBERTY RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405094319",
            "telephone_number": "859-447-2309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "KATLYN",
        "middle_name": "DAVIS",
        "credential": "M.ED, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-16",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Lee Jackson, MS, ATC
• Imani T Jackson, BS, RBT
• Kaela Jackson, RDN
• Karrington I Jackson
• Kathleen Patterson Jackson, LCSW
• Keiarra Jackson, RN
• Kendra Jackson, LCSW
• Larry Jackson Jr.
• Lloyd Dallas Jackson, L.C.S.W.
• Madison Taylor Jackson

• Behavior Analyst in Lexington, KY
• Providers in Lexington, KY by specialty
• Behavior Analyst in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.