Individual
KAYLAH TANIA STROTHER-JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA,BT
Contact information
Practice address
1320 MAIN ST STE 300, COLUMBIA, SC 29201-3266
(877) 418-2978
Mailing address
350 FAIRWAY DR STE 101, DEERFIELD BEACH, FL 33441-1834
(877) 418-2978
(866) 500-2186
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
SC
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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