Individual
MRS. AMANDA PRESTEMON JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2035 SW 75TH ST, SUITE B, GAINESVILLE, FL 32607-3425
(352) 332-8588
Mailing address
7257 NW 4TH BLVD, #213, GAINESVILLE, FL 32607-1600
(352) 538-3308
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
FL
Other
Enumeration date
05/07/2014
Last updated
05/07/2014
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