NPI Portal NPI Lookup & Verification

Holly Jean Jackson, M.ED, BCBA

Holly Jean Jackson is a Behavior Analyst provider (Behavior Analyst) practicing in Bend, OR, registered in the NPPES registry with NPI 1548753700 since 2018.

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NPI 1548753700
Entity type Individual (Type 1)
Name Holly Jean Jackson
Credential M.ED, BCBA
Sex Female
Practice address 19800 VILLAGE OFFICE CT, Bend, OR, 97702
Phone 5414802570
Enumeration date 2018-06-12
Last updated in NPPES 2023-08-08

Taxonomy & licenses

Taxonomy code Specialty Primary License State
103K00000X Behavior Analyst Primary

Other identifiers

Identifier Type State Issuer
1-23-66904 Other OR BEHAVIOR ANALYST CERTIFICATION BOARD
Copy-ready billing details
Provider: Holly Jackson, M.ED, BCBA
NPI: 1548753700
Taxonomy: 103K00000X (Behavior Analyst)
Address: 19800 VILLAGE OFFICE CT, Bend, OR, 97702

Other providers at this practice address

NPI Name Type Specialty Location
1558781864 Eamon Campbell Individual Behavior Analyst Bend, OR
1295123560 Tamra Caldwell Individual Behavior Technician Bend, OR
1083090153 Taylor Keenen Individual Behavior Analyst Bend, OR
1164875563 Delaney Frye Individual Behavior Analyst Bend, OR
1619415700 Sharon Balsamo Individual Professional Counselor Bend, OR
1588388359 Madison Shaw Individual Behavior Technician Bend, OR
1487363560 Shaylene Stark Individual Behavior Technician Bend, OR
1366143877 Jasely Grullon Grullon Individual Behavior Technician Bend, OR

Verify this record

Cross-check NPI 1548753700 against the authoritative CMS record: view Holly Jean 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

How do I verify Holly Jackson's NPI record?
Cross-check NPI 1548753700 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1548753700 active?
Yes — as of the latest NPPES snapshot, NPI 1548753700 is active (record last updated 2023-08-08).

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-08-08.