Elizabeth Kolb-Jackson, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

ELIZABETH KOLB-JACKSON, LLC

Practice address

4526 Rivermist Dr
Melbourne, FL 32935-7163

Phone

(803) 972-4728

NPI assigned

Mar 16, 2026

Organization subpart

No

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

Authorized official

Name

Elizabeth Anne Kolb-Jackson, BCBANPI 1992940100

Title

Owner/Director

Phone

(803) 972-4728

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Kolb-Jackson

  • Behavior Analyst
  • Melbourne, FL
  • NPI 1992940100
  NPD Authorized official

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

{
    "created_epoch": "1773619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773619200000",
    "number": "1932056264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4526 RIVERMIST DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329357163",
            "telephone_number": "803-972-4728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4526 RIVERMIST DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329357163",
            "telephone_number": "803-972-4728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH KOLB-JACKSON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-16",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-15",
        "status": "A",
        "authorized_official_last_name": "KOLB-JACKSON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "803-972-4728",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.