Individual
KIRAH ALANA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S,BCBA,LBA
Contact information
Practice address
1215 PRYTANIA ST, NEW ORLEANS, LA 70130-4357
(504) 322-1121
Mailing address
3511 RUE COLETTE, NEW ORLEANS, LA 70131-5430
(504) 520-9449
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-871
LA
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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