Individual
JAKKIYAH MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8032 GARDNER DR, ALPHARETTA, GA 30009-2192
(404) 934-6084
(470) 880-1025
Mailing address
350 FAIRWAY DR STE 101, DEERFIELD BEACH, FL 33441-1834
(877) 418-2978
(866) 500-2186
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
HI
Other
Enumeration date
06/27/2024
Last updated
09/19/2025
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