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

DONOVAN JACKSON

Active

DONOVAN JACKSON is a Behavior Technician healthcare provider located in STOCKBRIDGE, Georgia. NPI 1821637695 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · STOCKBRIDGE, GA

Registration Details

NPI Number
1821637695
Provider Type
Individual
Gender
Male
NPI Issued
Dec 27, 2019 (6.5941948183022 yrs)
Last Updated
Dec 27, 2019

Practice Information

Address
115 N PARK TRL STE 123
STOCKBRIDGE, GA, 302817373
Browse GA providers · Browse ZIP 30281
Phone
8885096368
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
TOMIKA REEVES JONES 1013556810
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.