IndividualActive
Ayanna Jackson
NPI 1205515525 · Behavior Technician · Moncks Corner, SC
Ayanna Jackson is a Behavior Technician provider in Moncks Corner, SC (NPI 1205515525).
Provider details
- NPI number
- 1205515525
- 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(52/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
111 Kitfield Rd
Moncks Corner, SC 29461-4210
Phone: (843) 499-0516
Street-level locationGet directions
Mailing address
111 Kitfield Rd
Moncks Corner, SC 29461-4210
Registry dates
- Enumerated
- 2023-07-13
- Last updated
- 2023-07-13
- Certified
- 2023-07-13
Frequently asked questions
- What is Ayanna Jackson's NPI number?
- Ayanna Jackson's National Provider Identifier (NPI) is 1205515525, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ayanna Jackson's specialty?
- Ayanna Jackson is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Ayanna Jackson located?
- Ayanna Jackson's practice location on file with NPPES is 111 Kitfield Rd, Moncks Corner, SC 29461-4210.
- What is Ayanna Jackson's phone number?
- The practice phone number listed in the NPPES registry for Ayanna Jackson is (843) 499-0516.
- Is Ayanna Jackson's NPI active?
- Yes — Ayanna Jackson's NPI (1205515525) is active in the NPPES registry as of the last update on 2023-07-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.