Deallen Jackson
Deallen Jackson is a Behavior Technician in Covington, Georgia. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
2131 Stallings St NW # 2832Covington, GA 30014-2351
Phone: (770) 895-2978
Fax: (678) 550-9431
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1487412920 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 11, 2024 |
| Last updated in NPPES | March 11, 2024 |
| Certification date | March 9, 2024 |
| Mailing address | 2131 Stallings St Nw # 2832, Covington, GA 30014-2351 |
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