Angela Jackson
NPI #1194314732 in Lithia Springs, Georgia
Provider Information
- NPI Number
- 1194314732
- Entity Type
- Individual
- Name
- Angela Jackson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- Jan 17, 2021
- Last Updated
- Jan 17, 2021
Practice Location
- Address
- 1607 BRADMERE LN
- City
- Lithia Springs
- State
- Georgia
- ZIP Code
- 30122-3253
- Phone
- (678) 761-2770
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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