Individual
DEBORAH JUNE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
1640 E. PARHAM ROAD, RICHMOND, VA 23228
(804) 365-2047
(804) 716-7186
Mailing address
1640 E. PARHAM ROAD, RICHMOND, VA 23228
(804) 365-2047
(804) 716-7186
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133001435
VA
Other
Enumeration date
07/22/2019
Last updated
01/21/2025
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