Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNEDY JACKSON
ActiveKENNEDY JACKSON is a Assistant Behavior Analyst healthcare provider located in STONE MTN, Georgia. NPI 1023813037 is currently active in the NPPES registry. Verify at CMS.
Assistant Behavior Analyst · STONE MTN, GA
Registration Details
- NPI Number
- 1023813037
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 14, 2025 (1.4999225843618 yrs)
- Last Updated
- Feb 14, 2025
Practice Information
- Address
-
4700 ABERDEEN LNSTONE MTN, GA, 300834326Browse GA providers · Browse ZIP 30083
- Phone
- 4047342062
- Primary Specialty
-
Assistant Behavior Analyst
106E00000X
- Additional Specialty
- Assistant Behavior Analyst
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.