GRACIE JACKSON
NPI 1649084351
Behavior Technician in Centreville, VA

Active since February 03, 2025
5830 STONE RIDGE DR, CENTREVILLE, VA 20120(718) 215-5311(718) 865-5165 Get Directions Write a Review

NPPES record last updated: February 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gracie Jackson NPPES

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

GRACIE JACKSON (NPI 1649084351) is an individual behavior technician in Centreville, Virginia, licensed in Virginia (BACB1106900) and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1649084351
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameGRACIE JACKSON
Location Address5830 STONE RIDGE DRCentreville, VA 20120-2887
Mailing Address13800 Coppermine RdHerndon, VA 20171-6163 · (718) 215-5311 · Fax (718) 865-5165
Fax(718) 865-5165
Sole ProprietorNo
Enumeration DateFebruary 3, 2025
NPPES CertifiedFebruary 3, 2025
NPI 1649084351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
License Licensed in VA · BACB1106900
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.
5830 STONE RIDGE DR, Centreville, VA 20120

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 Gracie Jackson's NPI number?

The NPI number for Gracie Jackson is 1649084351. It was assigned to this individual provider in the NPPES registry on February 3, 2025.

Where is Gracie Jackson located?

Gracie Jackson practices at 5830 Stone Ridge Dr, Centreville, VA 20120. The listed phone number is (718) 215-5311.

What is Gracie Jackson'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 Gracie Jackson was last updated on February 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.