- Practice location
- 121 S Highland Ave, Apt 2B, Ossining, NY 10562-5862
- Phone
- 914-432-5670
- Fax
- 914-432-5670
- Last updated
- August 15, 2014
Shantal Jackson is a Behavior Analyst based in Ossining, NY. Shantal Jackson practices in Ossining, NY. The NPI Number for Shantal Jackson is 1811396724 and holds a License No. 1-09-05861 (NY). The current practice location address for Shantal Jackson is 121 S Highland Ave, Apt 2B, Ossining, NY 10562-5862 and can be reached out via phone at 914-432-5670 and via fax at 914-432-5670.
Provider Profile Details
- NPI Number
- 1811396724
- Provider Name
- Shantal Jackson
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 121 S Highland Ave, Apt 2B, Ossining, NY 10562-5862
- Phone Number
- 914-432-5670
- Fax Number
- 914-432-5670
- Primary Taxonomy
- Behavior Analyst · 103K00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 15, 2014
- Last Update Date
- August 15, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 121 S Highland Ave
Apt 2B
Ossining, NY 10562-5862 - City
- Ossining
- State
- New York
- Zip
- 10562-5862
- Phone Number
- 914-432-5670
- Fax Number
- 914-432-5670
Provider Business Mailing Address Details
- Address
- 121 S Highland Ave
Apt 2B
Ossining, NY 10562-5862 - City
- Ossining
- State
- NY
- Zip
- 10562-5862
- Phone Number
- 914-432-5670
- Fax Number
- 914-432-5670
License Information
- License Number
- 1-09-05861
- License State
- NY
- 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 Mrs. Shantal Jackson?
The NPI number of Mrs. Shantal Jackson is 1811396724. It was assigned on August 15, 2014 and is currently active in the NPPES registry.
What is the specialty of Mrs. Shantal Jackson?
Mrs. Shantal Jackson is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in NY under license number 1-09-05861.
Where does Mrs. Shantal Jackson practice?
The practice location is 121 S Highland Ave, Apt 2B, Ossining, NY 10562-5862. The office can be reached at 914-432-5670 (phone) or 914-432-5670 (fax).
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 1811396724 directly on the NPPES registry website.