Kimmilli Jackson
Behavior Analyst · Duluth, GA
Practice location
2810 Premiere Pkwy Ste 500Duluth, GA 30097-8912
- Phone
- (866) 523-4268
NPI record
- NPI
- 1932792538
- Entity type
- Individual (Type 1)
- Enumeration date
- February 15, 2021
- Last updated
- February 15, 2021
- Certified
- February 15, 2021
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X |
— | GA |
| Behavior Analyst | 103K00000X |
— | — |
Mailing address
PO Box 399318San Francisco, CA 94139-9318
About Kimmilli Jackson
Kimmilli Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 2810 Premiere Pkwy Ste 500, Duluth, GA 30097-8912. The NPI number 1932792538 was assigned on February 15, 2021 and the record was last updated on February 15, 2021.
Frequently asked questions
What is the NPI number of Kimmilli Jackson?
The NPI number is 1932792538.
What is the phone number of Kimmilli Jackson?
The phone number listed for the practice location is (866) 523-4268.
Where is Kimmilli Jackson located?
2810 Premiere Pkwy Ste 500, Duluth, GA 30097-8912.
What is the taxonomy code for Kimmilli Jackson?
The primary taxonomy code is 103K00000X – Behavior Analyst; 1 more listed above.
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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