Individual
ANDREA JASMINE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7715 NW 48 ST, SUITE B360, MIAMI, FL 33166
(305) 846-9807
(305) 846-9711
Mailing address
P O BOX 770173, MIAMI, FL 33177
(305) 846-9807
(305) 846-9711
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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