Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SABLE DOMINIQUE JACKSON
ActiveSABLE DOMINIQUE JACKSON is a Behavior Technician healthcare provider located in MECHNICSVILLE, Virginia. NPI 1467128983 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · MECHNICSVILLE, VA
Registration Details
- NPI Number
- 1467128983
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 17, 2021 (4.9941058555275 yrs)
- Last Updated
- Aug 17, 2021
Practice Information
- Address
-
7143 STONEWALL PARKWAYMECHNICSVILLE, VA, 23111Browse VA providers · Browse ZIP 23111
- Phone
- 8045570881
- Primary Specialty
-
Behavior Technician
106S00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.