Individual
DEAUNNA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1110 13TH ST STE D, COLUMBUS, GA 31901-2246
(706) 780-1704
Mailing address
7491 MOSSDALE WAY, COLUMBUS, GA 31909-1787
(850) 266-4697
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-26-16803
AL
106S00000X
Behavior Technician
RBT-23-304572
GA
Other
Enumeration date
02/17/2020
Last updated
02/05/2026
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