Individual
ALISHA EVON JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
5511 EDMONDSON PIKE STE 105, NASHVILLE, TN 37211-6852
(615) 560-1331
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
854
TN
103K00000X
Behavior Analyst
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—
Other
Enumeration date
03/06/2020
Last updated
07/16/2024
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