IndividualActive
Ebony Jackson
NPI 1508621731 · Behavior Technician · Summerville, SC
Ebony Jackson is a Behavior Technician provider in Summerville, SC (NPI 1508621731).
Provider details
- NPI number
- 1508621731
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 23-268294 (CO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% 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
1711 Central Ave
Summerville, SC 29483-9320
Phone: (843) 934-1981
Approximate (ZIP-level) locationGet directions
Mailing address
414 Gray Bark Rd
Summerville, SC 29486-8302
Registry dates
- Enumerated
- 2024-02-16
- Last updated
- 2024-02-16
- Certified
- 2024-02-16
Frequently asked questions
- What is Ebony Jackson's NPI number?
- Ebony Jackson's National Provider Identifier (NPI) is 1508621731, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ebony Jackson's specialty?
- Ebony Jackson is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Ebony Jackson located?
- Ebony Jackson's practice location on file with NPPES is 1711 Central Ave, Summerville, SC 29483-9320.
- What is Ebony Jackson's phone number?
- The practice phone number listed in the NPPES registry for Ebony Jackson is (843) 934-1981.
- Is Ebony Jackson's NPI active?
- Yes — Ebony Jackson's NPI (1508621731) is active in the NPPES registry as of the last update on 2024-02-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.