Simone Jackson
Simone Jackson is a Behavior Analyst provider (Behavior Analyst) practicing in Riverside, CA, registered in the NPPES registry with NPI 1619483013 since 2017.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1619483013 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Simone Jackson |
| Sex | Female |
| Practice address | 3877 12TH ST, Riverside, CA, 92501 |
| Phone | 719-589-3671 |
| Enumeration date | 2017-12-20 |
| Last updated in NPPES | 2026-06-30 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | Primary | 12583717 | CA |
| 171M00000X | Case Manager/Care Coordinator | Secondary | — | — |
Copy-ready billing details
Provider: Simone Jackson NPI: 1619483013 Taxonomy: 103K00000X (Behavior Analyst) Address: 3877 12TH ST, Riverside, CA, 92501
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1801260872 | Colleen Bressie | Individual | Marriage & Family Therapist | Riverside, CA |
| 1508224122 | Laureen Kris Aguinaldo | Individual | Behavior Analyst | Riverside, CA |
| 1639521461 | Marisa Jordan | Individual | Marriage & Family Therapist | Riverside, CA |
| 1760937551 | Irma Murillo | Individual | Case Manager/Care Coordinator | Riverside, CA |
| 1457808255 | Heather Martinez | Individual | Case Manager/Care Coordinator | Riverside, CA |
| 1760931943 | Lakesha Dawson | Individual | Case Manager/Care Coordinator | Riverside, CA |
| 1174058648 | Laila Mossadak | Individual | Case Manager/Care Coordinator | Riverside, CA |
| 1922534650 | Stephanie Sully | Individual | Marriage & Family Therapist | Riverside, CA |
Verify this record
Cross-check NPI 1619483013 against the authoritative CMS record: view Simone 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
Is NPI 1619483013 active?
How do I verify Simone Jackson's NPI record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-06-30.