What is Shalise Jackson's NPI number?

Shalise Jackson's National Provider Identifier (NPI) is 1588239057, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Shalise Jackson's specialty?

Shalise Jackson is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).

Where is Shalise Jackson located?

Shalise Jackson's practice location on file with NPPES is 4849 Lone Tree Way, Antioch, CA 94531-8644.

What is Shalise Jackson's phone number?

The practice phone number listed in the NPPES registry for Shalise Jackson is (303) 989-8169.

Is Shalise Jackson's NPI active?

Yes — Shalise Jackson's NPI (1588239057) is active in the NPPES registry as of the last update on 2021-05-26.

IndividualActive

Shalise Jackson

NPI 1588239057 · Behavior Technician · Antioch, CA

Shalise Jackson is a Behavior Technician provider in Antioch, CA (NPI 1588239057).

Provider details

NPI number: 1588239057
Entity type: Individual
Primary specialty: Behavior TechnicianBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Behavior TechnicianPrimary106S00000X
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

4849 Lone Tree Way

Suite C

Antioch, CA 94531-8644

Phone: (303) 989-8169

Street-level locationGet directions

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Mailing address