Individual
AALIYAH JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
629 AIRPORT RD # P, LAWRENCEVILLE, GA 30046-4474
(167) 825-5059
Mailing address
3117 TRAIN ST, BUFORD, GA 30519-8163
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/08/2026
Last updated
07/08/2026
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