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

ANGELA JACKSON

Active Sole Proprietor

ANGELA JACKSON is a Behavior Analyst healthcare provider located in LITHIA SPRINGS, Georgia. NPI 1194314732 is currently active in the NPPES registry. Verify at CMS.

Behavior Analyst · LITHIA SPRINGS, GA

Registration Details

NPI Number
1194314732
Provider Type
Individual
Gender
Female
NPI Issued
Jan 17, 2021 (5.5717257790716 yrs)
Last Updated
Jan 17, 2021
License
2020-12959 (GA)
Sole Proprietor
Yes

Practice Information

Address
1607 BRADMERE LN
LITHIA SPRINGS, GA, 301223253
Browse GA providers · Browse ZIP 30122
Phone
6787612770
Primary Specialty
Behavior Analyst
103K00000X

Other Behavior Analyst Providers in LITHIA SPRINGS, GA

Name Credential NPI
JUSTINE FRIEL BCBA 1720593767
MAKAYLA BOOKER 1215436670
PRAISE TARVER BCBA 1861978132
SHANIQUA BARRON 1760047740
NACOLE THOMPSON 1376183996
EARL L BANKSTON 1861103038
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.