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

Channon Jackson

Individual provider Behavior Analyst · NPI 1497464432

Channon Jackson is a Behavior Analyst in Chesapeake, Virginia. Licensed in New York. Registered with an NPI since 2022.

Licensed in
NY
In the registry since
2022
Specialties on file
2

Practice location Address checks out

648 Independence Pkwy Ste 300
Chesapeake, VA 23320-5208
Phone: (757) 776-0790
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X
Behavior Analyst Taxonomy 103K00000X · Licence 879153078 (NY)

Record details

NPI number1497464432
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 17, 2022
Last updated in NPPESDecember 4, 2022
Certification dateDecember 4, 2022
Mailing address21600 Oxnard St Ste 1800, Woodland Hills, CA 91367-7807

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