Dominique Jackson
Dominique Jackson is a Behavior Technician in Powder Springs, Georgia. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
5330 Rutland CtPowder Springs, GA 30127-4785
Phone: (404) 913-6337
Fax: (404) 393-7473
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1699544783 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 29, 2023 |
| Last updated in NPPES | December 29, 2023 |
| Certification date | December 29, 2023 |
| Mailing address | 5330 Rutland Ct, Powder Springs, GA 30127-4785 |
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