Individual
KATLYN DAVIS JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, BCBA
Contact information
Practice address
2100 LIBERTY RD, LEXINGTON, KY 40509-4319
(859) 447-2309
Mailing address
2100 LIBERTY RD, LEXINGTON, KY 40509-4319
(859) 447-2309
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/16/2022
Last updated
07/17/2025
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