Latrisse N Jackson
Latrisse N Jackson is a Behavior Technician in Stockbridge, Georgia. Licensed in Georgia. Registered with an NPI since 2024.
- Licensed in
- GA
- In the registry since
- 2024
Practice location Address checks out
137 Spindletop Way # 137Stockbridge, GA 30281-7221
Phone: (631) 530-3900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X (GA) |
|---|
Record details
| NPI number | 1710726930 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 20, 2024 |
| Last updated in NPPES | June 4, 2024 |
| Certification date | June 4, 2024 |
| Mailing address | 137 Spindletop Way # 137, Stockbridge, GA 30281-7221 |
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