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

LATRISSE N JACKSON

Active

LATRISSE N JACKSON is a Behavior Technician healthcare provider located in STOCKBRIDGE, Georgia. NPI 1710726930 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · STOCKBRIDGE, GA

Registration Details

NPI Number
1710726930
Provider Type
Individual
Gender
Female
NPI Issued
May 20, 2024 (2.2589752522816 yrs)
Last Updated
Jun 4, 2024

Practice Information

Address
137 SPINDLETOP WAY # 137
STOCKBRIDGE, GA, 302817221
Browse GA providers · Browse ZIP 30281
Phone
6315303900
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in STOCKBRIDGE, GA

Name Credential NPI
ERICA REYNOLDS 1629558556
RACHAEL WILSON 1003460379
QUNISHA T RICHARD RBT 1598319857
TEKEYA RENEE GILL 1588211700
ELICIA KINNEY 1275171290
DONOVAN JACKSON 1821637695
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.