Thomas C Jackson

NPI #1871237818 in Mableton, Georgia

Provider Information

NPI Number: 1871237818
Entity Type: Individual
Name: Thomas C Jackson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Apr 26, 2022
Last Updated: Apr 26, 2022

Practice Location

Address: 1402 PALMER PL SW
City: Mableton
State: Georgia
ZIP Code: 30126-3020
Phone: (770) 842-4477

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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