Individual
NITANNA GLENN-JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
6385 OLD NATIONAL HWY STE 120.14, ATLANTA, GA 30349-4358
(678) 561-6368
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
19-79498
GA
Other
Enumeration date
08/21/2020
Last updated
01/28/2025
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