IndividualActive
Elizabeth Kolb-Jackson
NPI 1992940100 · Behavior Analyst · Melbourne, FL
Provider details
- NPI number
- 1992940100
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 0133000518 (VA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
1270 North Wickham Rd
Suite 13
Melbourne, FL 32935-8307
Phone: (321) 385-7734
Street-level locationGet directions
Mailing address
4526 Rivermist Dr
Melbourne, FL 32935-7163
Registry dates
- Enumerated
- 2008-12-03
- Last updated
- 2026-03-27
- Certified
- 2026-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.