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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DARRYL MAURICE JACKSON

Active Sole Proprietor

DARRYL MAURICE JACKSON is a Behavior Technician healthcare provider located in KENNESAW, Georgia. NPI 1043870892 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · KENNESAW, GA

Registration Details

NPI Number
1043870892
Provider Type
Individual
Gender
Male
NPI Issued
Jun 14, 2019 (7.1294875691304 yrs)
Last Updated
Jun 14, 2019
Sole Proprietor
Yes

Practice Information

Address
328 MCCOOK CIR NW
KENNESAW, GA, 301443156
Browse GA providers · Browse ZIP 30144
Phone
9045015304
Fax
6786537865
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in KENNESAW, GA

Name Credential NPI
JOANNE MARIE CONTEGIACOMO 1598028078
CLARISSA YVONNE LESUEUR 1629550694
TORIE DANIELLE LADENDORF 1184270175
AMANDA R SIMMONS 1164070975
ANDREA CACACE 1811534696
AMBER BOOTH RBT 1699312108
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.