Tiara Y Jackson, RBT

NPI #1497485684 in Martinez, Georgia

Provider Information

NPI Number: 1497485684
Entity Type: Individual
Name: Tiara Y Jackson, RBT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: RBT
Enumeration Date: Jun 13, 2022
Last Updated: Jun 13, 2022

Practice Location

Address: 4143 COLUMBIA RD STE B
City: Martinez
State: Georgia
ZIP Code: 30907-5405
Phone: (706) 755-2783

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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