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

Kimmilli Jackson

Individual provider Behavior Analyst · NPI 1932792538

Kimmilli Jackson is a Behavior Analyst in Duluth, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2021
Specialties on file
2

Practice location Address checks out

2810 Premiere Pkwy Ste 500
Duluth, GA 30097-8912
Phone: (866) 523-4268
Show map & directions

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

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X (GA)
Behavior Analyst Taxonomy 103K00000X

Record details

NPI number1932792538
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 15, 2021
Last updated in NPPESFebruary 15, 2021
Certification dateFebruary 15, 2021
Mailing addressPo Box 399318, San Francisco, CA 94139-9318

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