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Organization
ELIZABETH KOLB-JACKSON, LLC
Active
Organization
ELIZABETH KOLB-JACKSON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH ANNE KOLB-JACKSON BCBA (OWNER/DIRECTOR)
(803) 972-4728
Entity
Organization
Contact information
Practice address
4526 RIVERMIST DR, MELBOURNE, FL 32935-7163
(803) 972-4728
Mailing address
4526 RIVERMIST DR, MELBOURNE, FL 32935-7163
(803) 972-4728
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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