Justice Jackson
Justice Jackson is a Behavior Technician in Midlothian, Virginia. Licensed in Virginia. Registered with an NPI since 2022.
- Licensed in
- VA
- In the registry since
- 2022
Practice location Address checks out
2820 Waterford Lake Dr Ste 102Midlothian, VA 23112-3994
Phone: (804) 562-6604
Fax: (757) 970-0277
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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 RBT-22-245110 (VA) |
|---|
Record details
| NPI number | 1578273116 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 5, 2022 |
| Last updated in NPPES | December 5, 2022 |
| Certification date | December 4, 2022 |
| Mailing address | 6800 Paragon Pl Ste 200, Richmond, VA 23230-1652 |
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