ALLISON K. JACK BCABA – NPI #1801489174
Assistant Behavior Analyst

An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans.

ALLISON JACK is an assistant behavior analyst located in FORT WAYNE, IN. NPPES has assigned the NPI number 1801489174 to ALLISON JACK on February 17, 2021. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 106E00000X from the Health Care Provider Taxonomy code set, which is classified as Assistant Behavior Analyst.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ALLISON JACK below.

NPI Profile for
ALLISON K. JACK

NPI Number
1801489174
Enumeration Date

(more than 5 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
ALLISON K. JACK
Credentials
BCABA
Primary location
7230 ENGLE RD STE 102
FORT WAYNE, IN 46804-2234
Phone: (260) 373-1050 Fax: (260) 471-0285
Mailing address
1824 TOUBY PIKE STE B
KOKOMO, IN 46901-2573
Phone: (765) 628-7400 Fax: (855) 940-0177
Sole Proprietor
Yes
Updated
Certification Date
Feb 17, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
106E00000X
- Assistant Behavior Analyst (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.