Individual
ALEXIS JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBA
Contact information
Practice address
135 STATE AVE STE 100, CLAYTON, NC 27520-7546
(984) 316-4550
Mailing address
135 STATE AVE STE 100, CLAYTON, NC 27520-7546
(984) 316-4550
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3830
NC
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/26/2024
Last updated
03/24/2026
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