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Jefferson Jackson
NPI 1477382208 · Behavior Technician · Vancouver, WA
Jefferson Jackson is a Behavior Technician provider in Vancouver, WA (NPI 1477382208).
Provider details
- NPI number
- 1477382208
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(50/100 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
4101 Se 192nd Ave
Vancouver, WA 98683-1471
Phone: (360) 605-1881
Street-level locationGet directions
Mailing address
996 Royal Marco Way
Marco Island, FL 34145-1829
Registry dates
- Enumerated
- 2024-07-30
- Last updated
- 2024-07-30
- Certified
- 2024-07-30
Frequently asked questions
- What is Jefferson Jackson's NPI number?
- Jefferson Jackson's National Provider Identifier (NPI) is 1477382208, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jefferson Jackson's specialty?
- Jefferson Jackson is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Jefferson Jackson located?
- Jefferson Jackson's practice location on file with NPPES is 4101 Se 192nd Ave, Vancouver, WA 98683-1471.
- What is Jefferson Jackson's phone number?
- The practice phone number listed in the NPPES registry for Jefferson Jackson is (360) 605-1881.
- Is Jefferson Jackson's NPI active?
- Yes — Jefferson Jackson's NPI (1477382208) is active in the NPPES registry as of the last update on 2024-07-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.