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

Jackson Palmore Harrell

Individual provider Behavior Technician · NPI 1215433800

Jackson Palmore Harrell is a Behavior Technician in Fairfax, Virginia. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

11240 Waples Mill Rd Ste 101
Fairfax, VA 22030-6078
Phone: (703) 237-2219
Fax: (703) 237-2729
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1215433800
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 3, 2018
Last updated in NPPESApril 3, 2018
Mailing address10211 Leslie Ct Apt 304, Burke, VA 22015-4682

Other providers in Fairfax