Regina Jackson
Regina Jackson is a Behavior Technician in Tallahassee, Florida. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
3600 Maclay Blvd S Ste 100Tallahassee, FL 32312-1275
Phone: (850) 333-1279
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1053825778 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 17, 2017 |
| Last updated in NPPES | August 18, 2022 |
| Certification date | August 18, 2022 |
| Mailing address | 3500 Depauw Blvd Ste 3070, Indianapolis, IN 46268-6135 |
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