P Praxis·MD
● Active Type 1 · Individual

Angela Jackson

Behavior Analyst·Lithia Springs, GA· NPI 1194314732 · Enumerated 2021 · 5 years on NPI
Jackson is 1 of 8 behavior analyst providers in Lithia Springs and 1 of 3228 in Georgia.
NPI age
5 years
Enumerated 2021-01-17
Primary specialty
Behavior Analyst
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-01-17
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 3228 active behavior analyst providers in Georgia.

NPI age
5 years
≈ at median (5 yr)
State licenses
1 state
3% of peers hold multiple states
Subspecialties
0
26% of peers hold subspecialties

NPI lifetime · 2021 → 2026

2021-01Enumerated in NPPES
2021 2026

Where they practice

Practice location
1607 Bradmere Ln
Lithia Springs, GA 301223253
📞 6787612770
Mailing address
1607 Bradmere Ln
Lithia Springs, GA 301223253
📞 6787612770

Specialties

  • Behavior Analyst Primary
    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...
    GA license #2020-12959 taxonomy 103K00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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