Laura Jackson, M.S.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

114 Joanne LN
Dekalb, IL 60115-1908

Phone

(312) 826-1261

NPI assigned

Oct 26, 2023

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 Science

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1528830189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 JOANNE LN",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601151908",
            "telephone_number": "312-826-1261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 JOANNE LN",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601151908",
            "telephone_number": "312-826-1261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "925 Payne Ave Ste B2",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551304280",
            "country_code": "US",
            "telephone_number": "312-826-1261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "LAURA",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-26",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integra Clinical
• Sydney Elizabeth Irvin, PTA
• Joshua James Irvine
• Ahmed Ismail-Sheikh
• Katherine E Izzi, M.A. CF-SLP
• Shatoya Jackson, MSW
• Michael Christopher Jagoda, MD, MS
• James Skylar O'Brien, DDS, LLC
• Joel Janyia
• Bhavya Jasthi, DMD

• Behavior Analyst in Dekalb, IL
• Providers in Dekalb, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.