Lindsay Jackson
Individual provider Active NPI Behavior Technician · Davis, WV
NPI 1962005892 · NPPES record last updated Nov 22, 2020
Key facts
- NPI
- 1962005892
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1085 Canaan Heights Rd
Davis, WV 26260-8007 - Phone
- (304) 851-6643
- NPI assigned
- Nov 22, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountainside Behavior Analysis Services, LCC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
1085 Canaan Heights Rd
Davis, WV 26260-8007
Mailing address
1085 Canaan Heights Rd
Davis, WV 26260-8007
Phone (304) 851-6643
Other providers in Davis, WV
- Laylin Brown
- Dacotah Burdette
- Amber Eileen Eakle
- Hawa Hamidi
- Meredith Harris
- Shannon Kauffman
- Kines Family Dentistry PLLC
- David Kines
- Don W Kines
- Mikaela Kiser
All providers in Davis, WV · Behavior Technician in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.