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Tammy Jackson , BCBA, LBA, MBA

Behavior Analyst β€’ Cheshire, CT

Active NPI 1972767994 Individual Practitioner Female Practitioner
Practice location in NPPES

150 Victoria Dr
Cheshire, CT 064107126

Call 2038192025 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

150 Victoria Dr

Cheshire, CT 064107126

Telephone 2038192025
Organization at the Same NPPES Address or Phone
Fun 2b Free Llc Facility NPI 1982201927

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in West Hartford, CT; Woodbridge, CT. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2008

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Cheshire and Connecticut

33 active clinicians are listed under Behavior Analyst with a practice address in Cheshire, CT (1,359 in Connecticut).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Cheshire

0% of these 33 clinicians have the CMS telehealth indicator.

0% of these 33 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-02-08
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES CT 1-09-5870

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Connecticut Department of Public Health Verification.
Look Up on State Board Site

Secondary Practice Locations

1764 Litchfield Tpke

Woodbridge, CT 065252353

Phone: 2038870673

556 New Park Ave Ste A

West Hartford, CT 061101317

Phone: 6052712690

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location February 08, 2021

Registered at 150 VICTORIA DR, CHESHIRE, CT 064107126 (Tel: 2038192025)

πŸ“
Updated Business Mailing Address February 08, 2021

Registered at 150 VICTORIA DR, CHESHIRE, CT 064107126 (Tel: 2038192025)

πŸ‘€
Provider Name / Credentials Updated February 08, 2021

Recorded as TAMMY JACKSON, BCBA, LBA, MBA

πŸ“
Updated Practice Location May 10, 2019

Registered at 556 NEW PARK AVE STE A, WEST HARTFORD, CT 061101317 (Tel: 6052712690)

πŸ“
Updated Business Mailing Address May 10, 2019

Registered at 1105 W RUSSELL ST, SIOUX FALLS, SD 571041322 (Tel: 6052712690)

πŸ‘€
Provider Name / Credentials Updated May 10, 2019

Recorded as TAMMY JACKSON, BCBA

βœ…
NPI Profile Active October 19, 2011

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 19, 2011

Registered at 1764 LITCHFIELD TPKE, WOODBRIDGE, CT 065252353 (Tel: 2038870673)

πŸ“
Business Mailing Address (Initial Record) October 19, 2011

Registered at 1025 SUMNER AVE, SPRINGFIELD, MA 011182147 (Tel: 2038870673)

πŸ‘€
Provider Name / Credentials (Initial Record) October 19, 2011

Recorded as TAMMY LAGO-JACKSON, BCBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2011

Behavior Analyst (license number reported to NPPES: CT 1-09-5870)

🟒
Initial NPI Registration & Enumeration July 18, 2008

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1972767994
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 18, 2008
Last Update: February 08, 2021
Sole Proprietor: No

Mailing Address

150 Victoria Dr

Cheshire, CT 064107126

Phone: 2038192025

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.