GRACIE JACKSON
NPI 1649084351
Behavior Technician in Centreville, VA
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
Specialties & Licenses
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.