Individual
KALIYAH JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BT
Contact information
Practice address
4328 CENTRAL AVE, HOT SPRINGS, AR 71913-7436
(501) 358-6535
(501) 358-6536
Mailing address
PO BOX 10267, CONWAY, AR 72034-0003
(501) 358-6535
(501) 358-6536
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/09/2025
Last updated
12/09/2025
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