Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angela Jackson

Individual provider Behavior Analyst · NPI 1194314732

Angela Jackson is a Behavior Analyst in Lithia Springs, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2021

Practice location Address checks out

1607 Bradmere Ln
Lithia Springs, GA 30122-3253
Phone: (678) 761-2770
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 2020-12959 (GA)

Record details

NPI number1194314732
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 17, 2021
Last updated in NPPESJanuary 17, 2021
Certification dateJanuary 17, 2021
Mailing address1607 Bradmere Ln, Lithia Springs, GA 30122-3253

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