Manya Jackson, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

1233 Eagles Landing Pkwy Ste a
Stockbridge, GA 30281-6399

Phone

(404) 480-3842

Fax

(615) 815-1946

NPI assigned

Aug 13, 2013

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Brighter Days Behavioral Health LLC

  • Behavior Analyst
  • Atlanta, GA
  • NPI 1750878278
  NPD Authorized official

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1730512880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 MURFREESBORO PIKE STE 702",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372172679",
            "telephone_number": "844-359-7629",
            "fax_number": "615-815-1946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 EAGLES LANDING PKWY STE A",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816399",
            "telephone_number": "404-480-3842",
            "fax_number": "615-815-1946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Camden Woods Pl",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "GA",
            "postal_code": "301578733",
            "country_code": "US",
            "telephone_number": "404-723-1882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "MANYA",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-13",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samerica Jackson-Clark
• Carrie B. Jackson, RN, BSN, MBA
• Donovan Jackson
• Latrisse N Jackson
• Lenell Renee Jackson
• Meyonca Jackson, PHARMD,
• Nazari Aliyah Jackson
• Nikhol B Jackson, LPC
• Stacey Lajune Jackson
• Torrie Shapale Jackson, MA, RDN, LDN

• Behavior Analyst in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.