JACKSON PALMORE HARRELL
NPI 1215433800
Behavior Technician in Fairfax, VA

Active since April 03, 2018
11240 WAPLES MILL RD STE 101, FAIRFAX, VA 22030(703) 237-2219(703) 237-2729 Get Directions Write a Review

NPPES record last updated: April 3, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jackson Palmore Harrell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSON PALMORE HARRELL (NPI 1215433800) is an individual behavior technician in Fairfax, Virginia and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1215433800
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameJACKSON PALMORE HARRELL
Location Address11240 WAPLES MILL RD STE 101Fairfax, VA 22030-6078
Mailing Address10211 Leslie Ct Apt 304Burke, VA 22015-4682 · (703) 581-4632
Fax(703) 237-2729
Sole ProprietorNo
Enumeration DateApril 3, 2018
NPI 1215433800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
11240 WAPLES MILL RD STE 101, Fairfax, VA 22030

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
11240 WAPLES MILL RD STE 101
FAIRFAX, VA 22030
Behavior Analyst
11240 WAPLES MILL RD STE 101
FAIRFAX, VA 22030
Behavior Technician
11240 WAPLES MILL RD STE 101
FAIRFAX, VA 22030
Behavior Analyst
11240 WAPLES MILL RD STE 101
FAIRFAX, VA 22030
Behavior Technician
11240 WAPLES MILL RD STE 101
FAIRFAX, VA 22030
Student in an Organized Health Care Education/Training Program
11240 WAPLES MILL RD STE 101
FAIRFAX, VA 22030
Behavior Technician
11240 WAPLES MILL RD STE 101
FAIRFAX, VA 22030
Behavior Technician
11240 WAPLES MILL RD STE 101
FAIRFAX, VA 22030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackson Harrell's NPI number?

The NPI number for Jackson Harrell is 1215433800. It was assigned to this individual provider in the NPPES registry on April 3, 2018.

Where is Jackson Harrell located?

Jackson Harrell practices at 11240 Waples Mill Rd Ste 101, Fairfax, VA 22030. The listed phone number is (703) 237-2219.

What is Jackson Harrell's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Jackson Harrell was last updated on April 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.