IndividualActive
Gracie Jackson
NPI 1649084351 · Behavior Technician · Centreville, VA
Gracie Jackson is a Behavior Technician provider in Centreville, VA (NPI 1649084351).
Provider details
- NPI number
- 1649084351
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- BACB1106900 (VA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5830 Stone Ridge Dr
Centreville, VA 20120-2887
Phone: (718) 215-5311
Fax: (718) 865-5165
Street-level locationGet directions
Mailing address
13800 Coppermine Rd
Herndon, VA 20171-6163
Registry dates
- Enumerated
- 2025-02-03
- Last updated
- 2025-02-03
- Certified
- 2025-02-03
Frequently asked questions
- What is Gracie Jackson's NPI number?
- Gracie Jackson's National Provider Identifier (NPI) is 1649084351, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gracie Jackson's specialty?
- Gracie Jackson is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Gracie Jackson located?
- Gracie Jackson's practice location on file with NPPES is 5830 Stone Ridge Dr, Centreville, VA 20120-2887.
- What is Gracie Jackson's phone number?
- The practice phone number listed in the NPPES registry for Gracie Jackson is (718) 215-5311.
- Is Gracie Jackson's NPI active?
- Yes — Gracie Jackson's NPI (1649084351) is active in the NPPES registry as of the last update on 2025-02-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.