Healthcare Provider Details

I. General information

NPI: 1679401210
Provider Name (Legal Business Name): UNIFIED BEHAVIOR CONSULTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 PERIMETER PARK S STE 100N
BIRMINGHAM AL
35243-3248
US

IV. Provider business mailing address

1 PERIMETER PARK S STE 100N
BIRMINGHAM AL
35243-3248
US

V. Phone/Fax

Practice location:
  • Phone: 205-306-1911
  • Fax:
Mailing address:
  • Phone: 205-306-1911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: JESSAKA JACKSON
Title or Position: OWNER
Credential: BCBA, LBA
Phone: 205-306-1911