Individual
CAITLYN CIERRA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
517 MARTIN RD, ATMORE, AL 36502-5239
(251) 368-9136
Mailing address
517 MARTIN RD, ATMORE, AL 36502-5239
(251) 368-9136
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AL
Other
Enumeration date
02/14/2024
Last updated
02/14/2024
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