Individual
JACKLYN LANSANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
421 FAYETTEVILLE ST STE 1100, RALEIGH, NC 27601-3000
(877) 418-2978
(866) 500-2186
Mailing address
4403 KARLBROOK LN, RALEIGH, NC 27616-6199
(301) 377-8604
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NC
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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