Individual
JALYSSA AIKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6385 MCGINNIS FERRY RD STE 2026385, JOHNS CREEK, GA 30005-3621
(470) 508-9575
(470) 508-9575
Mailing address
7500 SAN FELIPE ST STE 990, HOUSTON, TX 77063-1708
(866) 610-0580
(866) 610-0580
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/17/2023
Last updated
06/05/2025
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