Individual
JAMAR JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MBA, M.S, BCBA, LBA
Contact information
Practice address
PO BOX 351, YUMA, AZ 85366-2314
(804) 874-3321
Mailing address
PO BOX 351, YUMA, AZ 85366-2314
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
001881
AZ
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18-55268
REGISTERED BEHAVIOR TECHNICIAN
VA
Enumeration date
06/18/2021
Last updated
07/07/2026
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