Samuel Eli Jackson
Samuel Eli Jackson is a Behavior Technician in Columbus, Georgia. Licensed in Georgia. Registered with an NPI since 2020.
- Licensed in
- GA
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
1110 13th St Ste DColumbus, GA 31901-2246
Phone: (706) 780-1704
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Analyst (primary) | Taxonomy 103K00000X · Licence 12369125 (GA) |
|---|---|
| Behavior Technician | Taxonomy 106S00000X |
Record details
| NPI number | 1376151266 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 16, 2020 |
| Last updated in NPPES | October 25, 2023 |
| Certification date | October 25, 2023 |
| Mailing address | 1110 13th St Ste D, Columbus, GA 31901-2246 |
Other providers in Columbus
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Jamiya Jackson
2751 Warm Springs Rd, Columbus, GA 31904-6858 · (718) 215-5311
-
Kalief Jackson
6100 Veterans Pkwy Ste 11, Columbus, GA 31909-3514 · (813) 438-6796
-
Lakeiya Jackson
2751 Warm Springs Rd, Columbus, GA 31904-6858 · (718) 215-5311
-
Mekala Rose Boggess Jackson
7491 Mossdale Way, Columbus, GA 31909-1787 · (850) 266-4697
-
Shakiatra Jackson
1727 Boxwood Pl, Columbus, GA 31906-2328 · (706) 569-0727
-
Deanna Jacobs, RBT
1110 13th St, Columbus, GA 31901-2246 · (706) 780-1704
-
Reginald Jerome Jacobs II
1110 13th St Ste D, Columbus, GA 31901-2246 · (888) 963-2228
-
Synovious Alberta James
2751 Warm Springs Rd Ste A, Columbus, GA 31904-5327 · (718) 215-5311