Gracie Jackson
Gracie Jackson is a Behavior Technician in Centreville, Virginia. Licensed in Virginia. Registered with an NPI since 2025.
- Licensed in
- VA
- In the registry since
- 2025
Practice location Address checks out
5830 Stone Ridge DrCentreville, VA 20120-2887
Phone: (718) 215-5311
Fax: (718) 865-5165
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence BACB1106900 (VA) |
|---|
Record details
| NPI number | 1649084351 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 3, 2025 |
| Last updated in NPPES | February 3, 2025 |
| Certification date | February 3, 2025 |
| Mailing address | 13800 Coppermine Rd, Herndon, VA 20171-6163 |
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