IndividualActive
Bethany Jackson
NPI 1003612151 · Behavior Technician · Bloomington, IL
Bethany Jackson is a Behavior Technician provider in Bloomington, IL (NPI 1003612151).
Provider details
- NPI number
- 1003612151
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(49/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1015 S Mercer Ave
Bloomington, IL 61701-7107
Phone: (309) 663-0488
Street-level locationGet directions
Mailing address
2550 N Hollywood Way Ste 301
Burbank, CA 91505-5025
Registry dates
- Enumerated
- 2025-02-20
- Last updated
- 2025-02-20
- Certified
- 2025-02-20
Frequently asked questions
- What is Bethany Jackson's NPI number?
- Bethany Jackson's National Provider Identifier (NPI) is 1003612151, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bethany Jackson's specialty?
- Bethany Jackson is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Bethany Jackson located?
- Bethany Jackson's practice location on file with NPPES is 1015 S Mercer Ave, Bloomington, IL 61701-7107.
- What is Bethany Jackson's phone number?
- The practice phone number listed in the NPPES registry for Bethany Jackson is (309) 663-0488.
- Is Bethany Jackson's NPI active?
- Yes — Bethany Jackson's NPI (1003612151) is active in the NPPES registry as of the last update on 2025-02-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.