Active NPI
Alexandria H Jackson
- Behavior Analyst
- Chesapeake, VA
National Provider Identifier
1790497410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 0133004470
- Practice address
- 1100 Madison PLZ Unit 108C
Chesapeake, VA 23320-5201 - Phone
- (757) 895-2673
- NPI assigned
- Dec 14, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 0133004470 | VA | Primary |
Addresses
Primary practice location
1100 Madison PLZ Unit 108C
Chesapeake, VA 23320-5201
Mailing address
905 Shillelagh Rd
Chesapeake, VA 23323-6508
Phone (607) 342-8776
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786492800000",
"number": "1790497410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 SHILLELAGH RD",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233236508",
"telephone_number": "607-342-8776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 MADISON PLZ UNIT 108C",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233205201",
"telephone_number": "757-895-2673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "ALEXANDRIA",
"middle_name": "H",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-14",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "VA",
"license": "0133004470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesapeake, VA
- J Home Health Inc
- J.a. Rybarczyk, O.D. & Associates, P.C.
- J&J Community Services LLC (j&j community services)
- J&L Little LLC (J&J Little LLC)
- Bonita Marie Jackson-Vergara, LICENSED COUNSELOR
- Andrea Danielle Jackson, BT
- Ashantiana Wilshena, Jemila Jackson
- Brianna Jackson, RPH
- Channon Jackson
- Daniel Solomon Jackson, PA-S
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.