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IndividualActive

Bethany Jackson

Behavior Technician

NPI: 1003612151Bloomington, Illinois, 61701(309) 663-0488Female

About Bethany Jackson

Bethany Jackson is a female healthcare professional specializing in Behavior Technician, registered under National Provider Identifier (NPI) number 1003612151. Their primary practice is located at 1015 S MERCER AVE, Bloomington, Illinois 61701.

Patients can reach the office at (309) 663-0488. Bethany Jackson has been NPI-registered since 2025.

Doctor Details

Identity & Credentials

NPI Number
1003612151
Entity Type
Individual
First Name
Bethany
Last Name
Jackson
Gender
Female
Sole Proprietor
No
Status
active

Primary Practice Location

Address
1015 S MERCER AVE
City
Bloomington
State
Illinois
ZIP
61701-7107
Country
United States
Phone
(309) 663-0488

Specialty & Taxonomy

Primary Specialty
Behavior Technician
Classification
Behavior Technician
Taxonomy Code
106S00000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
2550 N HOLLYWOOD WAY STE 301
City
BURBANK
State
CA
ZIP
915055025

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Bethany Jackson's NPI number?
Bethany Jackson's National Provider Identifier (NPI) is 1003612151. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Bethany Jackson specialize in?
Bethany Jackson specializes in Behavior Technician.
Where is Bethany Jackson located?
Bethany Jackson practices at 1015 S MERCER AVE, Bloomington, Illinois 61701. You can reach them by phone at (309) 663-0488.
Does Bethany Jackson accept Medicare?
Based on available data, Bethany Jackson is not currently enrolled in the Medicare program.
Does Bethany Jackson offer telehealth or virtual visits?
Bethany Jackson does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Bethany Jackson is 1003612151.