Individual
ASTRID JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
5154 BAYOU BLVD, PENSACOLA, FL 32503-2102
(850) 416-4681
(850) 416-7776
Mailing address
5154 BAYOU BLVD, PENSACOLA, FL 32503-2102
(850) 416-4681
(850) 416-7776
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/15/2018
Last updated
05/15/2018
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