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Sarah Tina Jackson

Behavior Analyst β€’ Raleigh, NC

Active NPI 1396396370 Individual Practitioner Female Practitioner
Practice location in NPPES

8117 Ebenezer Church Rd
Raleigh, NC 276127307

Call 9842630654 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

8117 Ebenezer Church Rd

Raleigh, NC 276127307

Telephone 9842630654
Other Listings in Public Data

NPPES lists 3 distinct additional practice-address records in Raleigh, NC. 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

2019

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 Raleigh and North Carolina

248 active clinicians are listed under Behavior Analyst with a practice address in Raleigh, NC (2,349 in North Carolina).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Raleigh

0% of these 248 clinicians have the CMS telehealth indicator.

0% of these 248 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: 2024-04-19
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES NC 1-22-63279

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.

Behavior Technician

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

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: North Carolina Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Bacb
1-22-63279 (NC)

Secondary Practice Locations

421 Fayetteville St Ste 1100

Raleigh, NC 276013000

Phone: 8774182978

2929 Henslowe Dr

Raleigh, NC 276032687

Phone: 8565580259

8300 Health Park Ste 10

Raleigh, NC 276154731

Phone: 7047804271

Career & Practice History Timeline

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

9 Historical Events
πŸ“
Updated Business Mailing Address April 19, 2024

Registered at 509 HANSKA WAY, RALEIGH, NC 276102265 (Tel: 8565580259)

πŸ“
Updated Practice Location January 19, 2023

Registered at 8117 EBENEZER CHURCH RD, RALEIGH, NC 276127307 (Tel: 9842630654)

πŸ“
Updated Business Mailing Address January 19, 2023

Registered at 2929 HENSLOWE DR, RALEIGH, NC 276032687 (Tel: 8565580259)

βœ…
NPI Profile Active September 22, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 22, 2019

Registered at 421 FAYETTEVILLE ST STE 1100, RALEIGH, NC 276013000 (Tel: 8774182978)

πŸ“
Business Mailing Address (Initial Record) September 22, 2019

Registered at 421 FAYETTEVILLE ST STE 1100, RALEIGH, NC 276013000 (Tel: 8774182978)

πŸ‘€
Provider Name / Credentials (Initial Record) September 22, 2019

Recorded as SARAH JACKSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 22, 2019

Behavior Technician

🟒
Initial NPI Registration & Enumeration September 22, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1396396370
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 22, 2019
Last Update: April 19, 2024
Sole Proprietor: No

Mailing Address

509 Hanska Way

Raleigh, NC 276102265

Phone: 8565580259

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.