Deborah June Jackson, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

0133001435 Issued in VA

Practice address

1640 E. Parham Road
Richmond, VA 23228

Phone

(804) 365-2047

Fax

(804) 716-7186

NPI assigned

Jul 22, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dominion Day Treatment LLC.

  • Community/Behavioral Health Agency
  • Richmond, VA
  • NPI 1629169016
  NPD
• Dominion Outpatient Services, LLC

  • Clinical Social Worker
  • Richmond, VA
  • NPI 1790932911
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1225681950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 E. PARHAM ROAD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23228",
            "telephone_number": "804-365-2047",
            "fax_number": "804-716-7186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 E. PARHAM ROAD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23228",
            "telephone_number": "804-365-2047",
            "fax_number": "804-716-7186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "DEBORAH",
        "middle_name": "JUNE",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-22",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133001435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Jackson, LCSW
• Alexis Dionna Jackson, LCSW
• Allyson Jackson, D.C.
• Blair Rollings Jackson
• Cenata Alexandria Jackson
• Destinee Monet Jackson
• Diane Jackson, LCSW
• Elizabeth Jackson
• Henry Edward Jackson
• Horace J Jackson, MD

• Behavior Analyst in Richmond, VA
• Providers in Richmond, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.