Individual provider · Type 1 NPI
Gracie Jackson
Behavior Technician · Centreville, VA
Practice location
5830 Stone Ridge Dr
Centreville, VA 20120-2887
Fax (718) 865-5165
Mailing address
13800 Coppermine Rd
Herndon, VA 20171-6163
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician Primary | 106S00000X | BACB1106900 (VA) |
Behavior Technician: 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…
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About NPI 1649084351
Gracie Jackson's National Provider Identifier is 1649084351, issued on Feb 3, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Centreville, VA. The record was last updated on Feb 3, 2025.