Individual
DARTANIA S JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8501 WADE BLVD STE 1250, FRISCO, TX 75034-5894
(972) 312-8733
Mailing address
500 FAIRWAY DR, STE. 102, DEERFIELD BEACH, FL 33441-1814
(888) 880-9270
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
04/20/2015
Last updated
12/23/2021
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