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Ivy Jackson
NPI 1679401921 · Behavior Technician · Gardena, CA
Ivy Jackson is a Behavior Technician provider in Gardena, CA (NPI 1679401921).
Provider details
- NPI number
- 1679401921
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(46/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
879 W 190th St Ste 1000
Gardena, CA 90248-4255
Phone: (310) 329-9115
Street-level locationGet directions
Mailing address
14822 Chadron Ave Apt 14
Gardena, CA 90249-3519
Registry dates
- Enumerated
- 2026-05-08
- Last updated
- 2026-05-08
- Certified
- 2026-05-08
Frequently asked questions
- What is Ivy Jackson's NPI number?
- Ivy Jackson's National Provider Identifier (NPI) is 1679401921, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ivy Jackson's specialty?
- Ivy Jackson is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Ivy Jackson located?
- Ivy Jackson's practice location on file with NPPES is 879 W 190th St Ste 1000, Gardena, CA 90248-4255.
- What is Ivy Jackson's phone number?
- The practice phone number listed in the NPPES registry for Ivy Jackson is (310) 329-9115.
- Is Ivy Jackson's NPI active?
- Yes — Ivy Jackson's NPI (1679401921) is active in the NPPES registry as of the last update on 2026-05-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.