Individual
ARIEL JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1130 HURRICANE SHOALS RD NE, LAWRENCEVILLE, GA 30043-4851
(888) 329-4535
Mailing address
118 ARBOR DR, DULUTH, GA 30096-4960
(214) 901-4432
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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