Samuel Eli Jackson

NPI #1376151266 in Columbus, Georgia

Provider Information

NPI Number: 1376151266
Entity Type: Individual
Name: Samuel Eli Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Jul 16, 2020
Last Updated: Oct 25, 2023

Practice Location

Address: 1110 13TH ST STE D
City: Columbus
State: Georgia
ZIP Code: 31901-2246
Phone: (706) 780-1704

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X
Behavior Analyst	103K00000X	Primary

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