Sable Dominique Jackson

Behavior Technician · Mechnicsville, VA

Individual Active NPI

NPI number 1467128983

Practice location

7143 Stonewall Parkway
Mechnicsville, VA 23111
Phone
(804) 557-0881

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NPI record

NPI
1467128983
Entity type
Individual (Type 1)
Enumeration date
August 17, 2021
Last updated
August 17, 2021
Certified
July 6, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

About Sable Jackson

Sable Dominique Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 7143 Stonewall Parkway, Mechnicsville, VA 23111. The NPI number 1467128983 was assigned on August 17, 2021 and the record was last updated on August 17, 2021.

Frequently asked questions

What is the NPI number of Sable Dominique Jackson?

The NPI number is 1467128983.

What is the phone number of Sable Jackson?

The phone number listed for the practice location is (804) 557-0881.

Where is Sable Jackson located?

7143 Stonewall Parkway, Mechnicsville, VA 23111.

What is the taxonomy code for Sable Jackson?

The primary taxonomy code is 106S00000X – Behavior Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.