Brianna Mo'Nique Jackson

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

Practice address

1610 Jackson St
Monroe, LA 71202-2030

Phone

(408) 966-4504

NPI assigned

Nov 10, 2018

Last updated

Nov 10, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1541808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541808000000",
    "number": "1164990826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 EVANGELINE ST APT 118",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013803",
            "telephone_number": "408-966-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 JACKSON ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712022030",
            "telephone_number": "408-966-4504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "BRIANNA",
        "middle_name": "MO'NIQUE",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-10",
        "last_updated": "2018-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J. Scott Caldwell, D. C., a Professional Chiropractic Corporation (Doctor's Center)
• Ned Michael Jabour Sr., PH.D., LPC
• Jackson Home Health
• Andrew Jackson III
• Beverly Jackson
• Chellcy Jackson, MS
• Felica Jackson
• Ida Jackson
• Jamaal Jackson
• Jasminika Jackson

• Assistant Behavior Analyst in Monroe, LA
• Providers in Monroe, LA by specialty
• Assistant Behavior Analyst in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2018; 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.