Active NPI
Hannah Jackley, BCBA, LBA
- Behavior Analyst
- Waterloo, IA
National Provider Identifier
1922672260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 105828
- Practice address
- 815 Tower Park Dr
Waterloo, IA 50701-9027 - Phone
- (319) 242-7642
- NPI assigned
- May 19, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 105828 | IA | Primary |
Addresses
Primary practice location
815 Tower Park Dr
Waterloo, IA 50701-9027
Mailing address
815 Tower Park Dr
Waterloo, IA 50701-9027
Phone (319) 242-7642
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hjackley@balanceautism.org | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105828 | IA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784678400000",
"number": "1922672260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 TOWER PARK DR",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507019027",
"telephone_number": "319-242-7642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 TOWER PARK DR",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507019027",
"telephone_number": "319-242-7642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKLEY",
"first_name": "HANNAH",
"credential": "BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-19",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IA",
"license": "105828",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hjackley@balanceautism.org",
"affiliation": "N",
"endpointDescription": "protected email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "815 Tower Park Dr",
"city": "Waterloo",
"state": "IA",
"country_code": "US",
"postal_code": "507019027",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Waterloo, IA
- Iowa Physicians Clinic Medical Foundation (Iowa Health Physicians)
- Iowa Physicians Clinic Medicial Foundation (Iowa Health Physicians)
- Branden Y Itotani, DPM
- J.M. Tempel O.D. P.C. (1st Vision Center)
- Sarvenaz Jabbari, M.D.
- Albert Jerome Jackson Jr., MD
- Aubrey Nicole Jackson
- Clara Jackson
- Timothy G Jacobson
- Vandana Jain, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.