Miss Shavon N Jackson, BCBA
Behavior Analyst in Jackson, New Jersey
1033614797- Practice location
- 178 W Veterans Hwy, Jackson, NJ 08527-3410
- Phone
- 201-979-1336
- Fax
- —
- Last updated
- August 22, 2025
Shavon Nicole Jackson is a Behavior Analyst based in Jackson, NJ. Shavon Nicole Jackson practices in Jackson, NJ and has the professional credentials of BCBA. The NPI Number for Shavon Nicole Jackson is 1033614797 and holds a License No. 15BC00076600 (NJ). The current practice location address for Shavon Nicole Jackson is 178 W Veterans Hwy, Jackson, NJ 08527-3410 and can be reached out via phone at 201-979-1336.
Provider Profile Details
- NPI Number
- 1033614797
- Provider Name
- Shavon Nicole Jackson
- Credential
- BCBA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 178 W Veterans Hwy, Jackson, NJ 08527-3410
- Phone Number
- 201-979-1336
- Primary Taxonomy
- Behavior Analyst · 103K00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 26, 2018
- Last Update Date
- August 22, 2025
- Certification Date
- August 22, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 178 W Veterans Hwy
Jackson, NJ 08527-3410 - City
- Jackson
- State
- New Jersey
- Zip
- 08527-3410
- Phone Number
- 201-979-1336
Provider Business Mailing Address Details
- Address
- 175 Belgrove Dr
Kearny, NJ 07032-1507 - City
- Kearny
- State
- NJ
- Zip
- 07032-1507
License Information
- License Number
- 15BC00076600
- License State
- NJ
- Taxonomy
- Behavior Analyst · 103K00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Miss Shavon N Jackson, BCBA?
The NPI number of Miss Shavon N Jackson, BCBA is 1033614797. It was assigned on March 26, 2018 and is currently active in the NPPES registry.
What is the specialty of Miss Shavon N Jackson, BCBA?
Miss Shavon N Jackson, BCBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in NJ under license number 15BC00076600.
Where does Miss Shavon N Jackson, BCBA practice?
The practice location is 178 W Veterans Hwy, Jackson, NJ 08527-3410. The office can be reached at 201-979-1336 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033614797 directly on the NPPES registry website.