Individual provider Active NPI

Gabrielle Jackson, MA, BCBA

  • Behavior Analyst
  • Pottstown, PA
National Provider Identifier
1275087470
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
LBA00535 Issued in RI
Practice address
102 Green View Dr
Pottstown, PA 19464-7505
Phone
(484) 709-7577
NPI assigned
Aug 5, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 7401002713 MI
Behavior Analyst 103K00000X LBA00535 RI Primary
Behavior Analyst 103K00000X LABA10001479 MA

Addresses

Primary practice location

102 Green View Dr
Pottstown, PA 19464-7505

Mailing address

102 Green View Dr
Pottstown, PA 19464-7505
Phone (484) 709-7577

Other practice location 1

1 Office Pkwy
East Providence, RI 02914-1643
Phone (401) 270-7110

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LABA10001479MAMDBehavioral Analyst
7401002713MIMDBehavioral Analyst
LBA00535RIMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1275087470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 GREEN VIEW DR",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194647505",
            "telephone_number": "484-709-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 GREEN VIEW DR",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194647505",
            "telephone_number": "484-709-7577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Office Pkwy",
            "address_purpose": "LOCATION",
            "city": "East Providence",
            "state": "RI",
            "postal_code": "029141643",
            "country_code": "US",
            "telephone_number": "401-270-7110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "GABRIELLE",
        "credential": "MA, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-05",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "7401002713",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "RI",
            "license": "LBA00535",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "LABA10001479",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.