Individual
VICTORIA C JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
820 FOREST POINT CIR # 140, CHARLOTTE, NC 28273-5793
(855) 832-6727
Mailing address
4575 SE DIXIE HWY, STUART, FL 34997-6826
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36266863
STATE DRIVER'S LICENSE
NC
Enumeration date
03/31/2021
Last updated
08/13/2025
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