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

DOMINIQUE JACKSON

Active

DOMINIQUE JACKSON is a Behavior Technician healthcare provider located in POWDER SPRINGS, Georgia. NPI 1699544783 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · POWDER SPRINGS, GA

Registration Details

NPI Number
1699544783
Provider Type
Individual
Gender
Female
NPI Issued
Dec 29, 2023 (2.5836961169885 yrs)
Last Updated
Dec 29, 2023

Practice Information

Address
5330 RUTLAND CT
POWDER SPRINGS, GA, 301274785
Browse GA providers · Browse ZIP 30127
Phone
4049136337
Fax
4043937473
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in POWDER SPRINGS, GA

Name Credential NPI
MRS. BRIONKA JACKSON RBT 1386392256
SYREETA S. WHITFIELD 1770205718
HAWA SISSOKO 1962128389
ASHLEY BROOKE RICE 1235836024
INDIA DUDLEY 1063199735
JORDAN MCCLESKEY 1083485007
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.