Kimberly Nicole Jackson, LBA
NPI 1104480615ActiveIndividual· Behavior Analyst· Abingdon, VA
Behavior Analyst (LBA) in Abingdon, Virginia, licensed in VA, with an NPI issued in April 2019.
Overview
| NPI | 1104480615 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LBA |
| Sole proprietor | No |
| NPI issued | Apr 30, 2019 |
| Last updated in NPPES | Nov 17, 2020 |
| Certified by provider | Nov 17, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X | 0133001314 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Behavior Analyst providers in Abingdon
- 1932808235
- 1497330401
- 1952097222
- 1760018600
- 1538571658
- 1114552643
- 1093620635
- 1467142646
- 1194237420
- 1497106413