Individual provider · NPI-1
Jacqueline Thweatt-Burton, BCBA, LBA
Behavior Analyst · Lexington, TN
NPI number1891318986
StatusActive
Last updated in NPPESJul 20, 2022
Details
- NPI
- 1891318986
- Entity type
- Individual (NPI-1)
- Name
- Jacqueline Thweatt-Burton
- Credential
- BCBA, LBA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 22, 2020
- Certification date
- Jul 20, 2022
- Last updated
- Jul 20, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
530 Scarce Creek RdLexington, TN 38351-8561
Phone 731-614-3101 · Fax 228-300-2113
Mailing address
708 Broad AveGulfport, MS 39501-1350
Phone 251-648-4346 · Fax 228-300-2113
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.