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Individual

LAKYA JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., BCBA-LBA

Contact information

Practice address
2919 BREEZEWOOD AVE STE 202, FAYETTEVILLE, NC 28303-5283
(910) 263-8986
Mailing address
5451 N UNIVERSITY DR APT 6510, LAUDERHILL, FL 33351-5084
(608) 371-2577

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-81973
FL

Other

Enumeration date
09/30/2021
Last updated
09/08/2025
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