Mary Jackson
NPI 1275144149 · Behavior Analyst · Glen Carbon, IL
Mary Jackson is a Behavior Analyst provider in Glen Carbon, IL (NPI 1275144149).
Provider details
- NPI number
- 1275144149
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 1-21-57035 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Assistant Behavior Analyst106E00000X
Behavioral Health & Social Service Providers
Profile Score
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
100% of core fields populated
- Practice footprint23% of score
3 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
Mailing address
Additional practice locations (2)
- 400 Saint Louis St Ste 1Edwardsville, IL 62025-1979Phone: (618) 226-4397
- 6 Eagle Ctr Ste 1O Fallon, IL 62269-1945Phone: (618) 206-8816
Registry dates
- Enumerated
- 2020-08-13
- Last updated
- 2023-07-03
- Certified
- 2023-07-03
Frequently asked questions
- What is Mary Jackson's NPI number?
- Mary Jackson's National Provider Identifier (NPI) is 1275144149, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Jackson's specialty?
- Mary Jackson is listed in the NPPES registry with a primary specialty of Behavior Analyst (Behavioral Health & Social Service Providers).
- Where is Mary Jackson located?
- Mary Jackson's practice location on file with NPPES is 4559 Benes Ave, Glen Carbon, IL 62034-1541.
- What is Mary Jackson's phone number?
- The practice phone number listed in the NPPES registry for Mary Jackson is (217) 525-8332.
- Is Mary Jackson's NPI active?
- Yes — Mary Jackson's NPI (1275144149) is active in the NPPES registry as of the last update on 2023-07-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.