Kimberly Nicole Jackson, LBA
Kimberly Nicole Jackson is a Behavior Analyst provider (Behavior Analyst) practicing in Abingdon, VA, registered in the NPPES registry with NPI 1104480615 since 2019.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104480615 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Kimberly Nicole Jackson |
| Credential | LBA |
| Sex | Female |
| Practice address | 27018 LEE HWY, Abingdon, VA, 24211 |
| Phone | 2765254460 |
| Enumeration date | 2019-04-30 |
| Last updated in NPPES | 2020-11-17 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | Primary | 0133001314 | VA |
Copy-ready billing details
Provider: Kimberly Jackson, LBA NPI: 1104480615 Taxonomy: 103K00000X (Behavior Analyst) Address: 27018 LEE HWY, Abingdon, VA, 24211
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1861535254 | Michael Keohane | Individual | Clinical Social Worker | Abingdon, VA |
| 1376929802 | Kristen Zrioka | Individual | Occupational Therapist | Abingdon, VA |
| 1578116356 | Chelsey Mayhew | Individual | Occupational Therapy Assistant | Abingdon, VA |
| 1609415256 | Kaitlyn Huff | Individual | Physical Therapy Assistant | Abingdon, VA |
| 1669008348 | Kimberly Greer | Individual | Speech-Language Pathologist | Abingdon, VA |
Verify this record
Cross-check NPI 1104480615 against the authoritative CMS record: view Kimberly Nicole Jackson on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-11-17.