Active NPIIndividual providerSole proprietor

Mekayla D Jackson

Behavior Analyst in Bala Cynwyd, Pennsylvania

NPI Number1720762958
Practice location
10 N Presidential Blvd Ste 105, Bala Cynwyd, PA 19004-1107
Fax
—
Last updated
July 7, 2025

Mekayla Dawn Jackson is a Behavior Analyst based in Bala Cynwyd, PA. Mekayla Dawn Jackson practices in Bala Cynwyd, PA. The NPI Number for Mekayla Dawn Jackson is 1720762958 and holds a License No. 12581920 (PA). The current practice location address for Mekayla Dawn Jackson is 10 N Presidential Blvd Ste 105, Bala Cynwyd, PA 19004-1107 and can be reached out via phone at 844-528-1222.

Provider Profile Details

NPI Number
1720762958
Provider Name
Mekayla Dawn Jackson
Provider Entity Type
Individual
Gender
Female
Address
10 N Presidential Blvd Ste 105, Bala Cynwyd, PA 19004-1107
Phone Number
844-528-1222
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 8, 2023
Last Update Date
July 7, 2025
Certification Date
July 7, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 N Presidential Blvd Ste 105
Bala Cynwyd, PA 19004-1107
Zip
19004-1107
Phone Number
844-528-1222
Bala Cynwyd, PA 19004Get directions →

Provider Business Mailing Address Details

Address
542 Amherst St Ste B
Nashua, NH 03063-1016
City
Nashua
State
NH
Zip
03063-1016
Phone Number
844-528-1222

License Information

Taxonomy (1)
Behavior Technician · 106S00000X
Taxonomy (2)
Doula · 374J00000X
License Number (3)
12581920
License State (3)
PA
Taxonomy (3)
Behavior Analyst · 103K00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Mekayla D Jackson?

The NPI number of Mekayla D Jackson is 1720762958. It was assigned on June 8, 2023 and is currently active in the NPPES registry.

What is the specialty of Mekayla D Jackson?

Mekayla D Jackson is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in PA under license number 12581920.

Where does Mekayla D Jackson practice?

The practice location is 10 N Presidential Blvd Ste 105, Bala Cynwyd, PA 19004-1107. The office can be reached at 844-528-1222 (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 1720762958 directly on the NPPES registry website.

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