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

Katie Anne Jackson, MACCC-SLP/BCBA

Individual provider Behavior Analyst · NPI 1871840694

Katie Anne Jackson, MACCC-SLP/BCBA is a Behavior Analyst in Gold River, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2012
Specialties on file
2

Practice location Address checks out

11344 Coloma Rd Ste 810
Gold River, CA 95670-4465
Phone: (916) 631-0428
Show map & directions

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 19945 (CA)
Behavior Analyst Taxonomy 103K00000X

Record details

NPI number1871840694
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SLP/BCBA
Sole proprietorYes
NPI enumeratedAugust 10, 2012
Last updated in NPPESAugust 13, 2019

Other providers in Gold River