Individual
JULIE ANNA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
14905 FOXHOUND PL, TAMPA, FL 33624-2124
(813) 951-0285
(813) 908-3311
Mailing address
14905 FOXHOUND PL, TAMPA, FL 33624-2124
(813) 951-0285
(813) 908-3311
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
06/03/2009
Last updated
04/29/2013
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