Individual
BRITTANY NAKIA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
758 ROYAL ST, BATON ROUGE, LA 70802-6433
(225) 529-3890
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
012478599
LA
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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