IndividualActive
Kimberly Jackson, LBA
NPI 1104480615 · Behavior Analyst · Abingdon, VA
Kimberly Jackson, LBA is a Behavior Analyst provider in Abingdon, VA (NPI 1104480615).
Provider details
- NPI number
- 1104480615
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Credential
- LBA
- Sex
- Female
- Sole proprietor
- No
- License
- 0133001314 (VA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
27018 Lee Hwy
Abingdon, VA 24211-7512
Phone: (276) 525-4460
Street-level locationGet directions
Mailing address
27018 Lee Hwy
Abingdon, VA 24211-7512
Additional practice locations (1)
- 540 W Main StWytheville, VA 24382-2209Phone: (276) 223-3291
Registry dates
- Enumerated
- 2019-04-30
- Last updated
- 2020-11-17
- Certified
- 2020-11-17
Frequently asked questions
- What is Kimberly Jackson's NPI number?
- Kimberly Jackson's National Provider Identifier (NPI) is 1104480615, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kimberly Jackson's specialty?
- Kimberly Jackson is listed in the NPPES registry with a primary specialty of Behavior Analyst (Behavioral Health & Social Service Providers).
- Where is Kimberly Jackson located?
- Kimberly Jackson's practice location on file with NPPES is 27018 Lee Hwy, Abingdon, VA 24211-7512.
- What is Kimberly Jackson's phone number?
- The practice phone number listed in the NPPES registry for Kimberly Jackson is (276) 525-4460.
- Is Kimberly Jackson's NPI active?
- Yes — Kimberly Jackson's NPI (1104480615) is active in the NPPES registry as of the last update on 2020-11-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.