Individual
JADA IMANI BARKSDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
100 COMMERCE CT, POOLER, GA 31322-9445
(615) 560-6622
(317) 520-8200
Mailing address
3 SILVER OAK CT, POOLER, GA 31322-4012
(912) 656-4794
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-119199
GA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/03/2020
Last updated
03/27/2025
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