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

Kimberly Nicole Jackson, LBA

Individual provider Behavior Analyst · NPI 1104480615

Kimberly Nicole Jackson, LBA is a Behavior Analyst in Abingdon, Virginia. Works from 2 locations. Licensed in Virginia.

Licensed in
VA
In the registry since
2019
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Practice location Address checks out

27018 Lee Hwy
Abingdon, VA 24211-7512
Phone: (276) 525-4460
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 540 W Main St, Wytheville, VA 24382-2209 — (276) 223-3291

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 0133001314 (VA)

Record details

NPI number1104480615
Entity typeIndividual (Type 1)
GenderFemale
Credentials LBA
Sole proprietorNo
NPI enumeratedApril 30, 2019
Last updated in NPPESNovember 17, 2020
Certification dateNovember 17, 2020

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