Individual
JAKKIA ADAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6330 NEWTOWN RD STE 100, NORFOLK, VA 23502-4803
(844) 822-2250
Mailing address
131 ELDEN ST STE 302, HERNDON, VA 20170-4851
(703) 496-4371
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
VA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/13/2022
Last updated
07/21/2026
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