Jezzalyn Jackson

NPI #1811775372 in Ellenwood, Georgia

Provider Information

NPI Number: 1811775372
Entity Type: Individual
Name: Jezzalyn Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 18, 2023
Last Updated: Sep 18, 2023

Practice Location

Address: 4675 RIVER HILL CIR
City: Ellenwood
State: Georgia
ZIP Code: 30294-1884
Phone: (678) 237-3428

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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