Katie Anne Jackson, M.A. CCC-SLP/BCBA
NPI #1871840694 in Gold River, California
Provider Information
- NPI Number
- 1871840694
- Entity Type
- Individual
- Name
- Katie Anne Jackson, M.A. CCC-SLP/BCBA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.A. CCC-SLP/BCBA
- Enumeration Date
- Aug 10, 2012
- Last Updated
- Aug 13, 2019
Practice Location
- Address
- 11344 COLOMA RD STE 810
- City
- Gold River
- State
- California
- ZIP Code
- 95670-4465
- Phone
- (916) 631-0428
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
| Speech-Language Pathologist |
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