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

Simone Jackson

Individual provider Behavior Analyst · NPI 1619483013

Simone Jackson is a Behavior Analyst in Riverside, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
Specialties on file
2

Practice location Address checks out

3877 12th St
Riverside, CA 92501-3527
Phone: (719) 589-3671
Show map & directions

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

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 12583717 (CA)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1619483013
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 20, 2017
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026
Mailing address3877 12th St, Riverside, CA 92501-3527

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