Organization Active NPI

Jaxon's Academy Inc.

  • Behavior Analyst
  • Florissant, MO
National Provider Identifier
1740111426
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
JAXON'S ACADEMY INC.
Practice address
58 Grandview Plaza Shopping Ctr
Florissant, MO 63033-6105
Phone
(314) 791-2901
NPI assigned
May 29, 2026
Last updated
May 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Authorized official

Name
Jacquelyn Jones
Title
Executive Director
Phone
(314) 791-2901

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

58 Grandview Plaza Shopping Ctr
Florissant, MO 63033-6105

Mailing address

131 W High St Unit 1409
Jefferson City, MO 65102-0971
Phone (314) 791-2901

National Provider Directory

National Provider Directory

Locations

58 Grandview Plaza Shopping Ctr
Florissant, MO 63033
Phone (314) 791-2901

131 W High St
Unit 1409
Jefferson City, MO 65102

NPI Registry JSON

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

{
    "created_epoch": "1780012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780012800000",
    "number": "1740111426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 W HIGH ST UNIT 1409",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651020971",
            "telephone_number": "314-791-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 GRANDVIEW PLAZA SHOPPING CTR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630336105",
            "telephone_number": "314-791-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAXON'S ACADEMY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-29",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-791-2901"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.