Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alyssa Raudebaugh-Jackson, BCBA

Individual provider Behavior Technician · NPI 1700426053

Alyssa Raudebaugh-Jackson, BCBA is a Behavior Technician in Port St Lucie, Florida. Licensed in Florida. Registered with an NPI since 2020.

Licensed in
FL
In the registry since
2020
Specialties on file
2
What do these letters mean?
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Partly verified

Some contact details are missing from the federal record.

247 SW Port St Lucie Blvd
Port St Lucie, FL 34984
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-22-62662 (FL)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1700426053
Entity typeIndividual (Type 1)
GenderFemale
Credentials BCBA
Sole proprietorNo
NPI enumeratedJanuary 14, 2020
Last updated in NPPESDecember 8, 2022
Certification dateNovember 21, 2022

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