Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. JACQUELIN ANTOINETTE JACKSON
ActiveMS. JACQUELIN ANTOINETTE JACKSON is a Behavior Analyst healthcare provider located in FAIRFAX, Virginia. NPI 1497058697 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · FAIRFAX, VA
Registration Details
- NPI Number
- 1497058697
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 9, 2010 (15.638262200481 yrs)
- Last Updated
- Aug 3, 2021
- License
-
1-11-8474 (FL)
Practice Information
- Address
-
11240 WAPLES MILL RD101FAIRFAX, VA, 220306078Browse VA providers · Browse ZIP 22030
- Phone
- 7032372219
- Primary Specialty
-
Behavior Analyst
103K00000X
Other Behavior Analyst Providers in FAIRFAX, VA
| Name | Credential | NPI |
|---|---|---|
| ASHLEY R. BANGO | M.S., BCBA | 1699939025 |
| ALLISON KUTNER CLARK | M.ED., BCBA | 1144467259 |
| MRS. JULIE PIPER FLYNN | BCBA | 1811123110 |
| MS. GINA MARIE BALLONE | M.S., BCBA | 1194053850 |
| MRS. SHARLENE BERGERON | BCBA | 1255629051 |
| SHANNON MARIE KELLEY | M.ED, BCBA | 1700153327 |
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.