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

Mary Jackson

Individual provider Behavior Analyst · NPI 1275144149

Mary Jackson is a Behavior Analyst in Glen Carbon, Illinois. Works from 3 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2020
Specialties on file
2

Practice location Address checks out

4559 Benes Ave
Glen Carbon, IL 62034-1541
Phone: (217) 525-8332
Show map & directions

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

Additional practice locations (2)

  • 400 Saint Louis St Ste 1, Edwardsville, IL 62025-1979 — (618) 226-4397
  • 6 Eagle Ctr Ste 1, O Fallon, IL 62269-1945 — (618) 206-8816

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-21-57035 (IL)
Assistant Behavior Analyst Taxonomy 106E00000X

Record details

NPI number1275144149
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 13, 2020
Last updated in NPPESJuly 3, 2023
Certification dateJuly 3, 2023
Mailing address4559 Benes Ave, Glen Carbon, IL 62034-1541

Other providers in Glen Carbon