Individual
LAURA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6910 HIGHWAY 5 N, BRYANT, AR 72022-7901
(501) 585-7580
(501) 307-2135
Mailing address
6910 HIGHWAY 5 N, BRYANT, AR 72022-7901
(501) 585-7580
(501) 307-2135
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-60124
AR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/21/2019
Last updated
05/20/2026
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