IndividualActive
Kiya Jackson
NPI 1194395491 · Behavior Technician · Clermont, FL
Kiya Jackson is a Behavior Technician provider in Clermont, FL (NPI 1194395491).
Provider details
- NPI number
- 1194395491
- 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
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs 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
17335 Pagonia Rd Ste 109
Clermont, FL 34711-6011
Phone: (866) 610-0580
Fax: (352) 432-0913
Street-level locationGet directions
Mailing address
300 International Pkwy Ste 200
Lake Mary, FL 32746-5028
Registry dates
- Enumerated
- 2021-06-29
- Last updated
- 2021-11-08
- Certified
- 2021-10-23
Frequently asked questions
- What is Kiya Jackson's NPI number?
- Kiya Jackson's National Provider Identifier (NPI) is 1194395491, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kiya Jackson's specialty?
- Kiya Jackson is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Kiya Jackson located?
- Kiya Jackson's practice location on file with NPPES is 17335 Pagonia Rd Ste 109, Clermont, FL 34711-6011.
- What is Kiya Jackson's phone number?
- The practice phone number listed in the NPPES registry for Kiya Jackson is (866) 610-0580.
- Is Kiya Jackson's NPI active?
- Yes — Kiya Jackson's NPI (1194395491) is active in the NPPES registry as of the last update on 2021-11-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.