Angela Jackson
Behavior Analyst · Lithia Springs, GA
Practice location
1607 Bradmere LnLithia Springs, GA 30122-3253
- Phone
- (678) 761-2770
NPI record
- NPI
- 1194314732
- Entity type
- Individual (Type 1)
- Enumeration date
- January 17, 2021
- Last updated
- January 17, 2021
- Certified
- January 17, 2021
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X |
2020-12959 | GA |
About Angela Jackson
Angela Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 1607 Bradmere Ln, Lithia Springs, GA 30122-3253. The NPI number 1194314732 was assigned on January 17, 2021 and the record was last updated on January 17, 2021.
Angela Jackson lists a license in the registry: #2020-12959 (GA) for Behavior Analyst. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Angela Jackson?
The NPI number is 1194314732.
What is the phone number of Angela Jackson?
The phone number listed for the practice location is (678) 761-2770.
Where is Angela Jackson located?
1607 Bradmere Ln, Lithia Springs, GA 30122-3253.
What is the taxonomy code for Angela Jackson?
The primary taxonomy code is 103K00000X – Behavior Analyst.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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