MARIANNE LOUISE JACKSON BCBA-D NPI 1841623790

NPI Information

NPI: 1841623790
Provider Name: MARIANNE LOUISE JACKSON, BCBA-D
Classification: Psychologist - 103TB0200X
Entity Type: Individual

Specialization: Cognitive & Behavioral

Address:
4910 N CHESTNUT AVE
FRESNO, CA
ZIP 93726
Phone: (559) 278-2757
Get Directions

Marianne Louise Jackson, BCBA-D is a cognitive and behavioral psychologist in Fresno, CA. The provider is a psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. Marianne Louise Jackson, BCBA-D NPI is 1841623790. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4910 N CHESTNUT AVE
FRESNO, CA
ZIP 93726-852
Phone: (559) 278-2757

The enumeration date for this NPI number is 8/14/2013 and was last updated on 8/14/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TB0200X	Psychologist	Cognitive & Behavioral	1-07-3824	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1-07-3824	OTHER	CALIFORNIA	BCBA-D

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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