Search › Virginia › Behavior Technician
Ashantiana Jackson
NPI 1164069886 · on the registry since 2019
Practice
- Address
- 648 Independence Pkwy Ste 300
Chesapeake, VA 23320 - Phone
- (757) 776-0790
- Organisation at this address
- Wellspring Family Medical Center
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 120
Additional practice sites
- 648 Independence Pkwy Ste 300, Chesapeake, VA
Registry record
- Primary taxonomy
- Behavior Technician
106S00000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-12-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia