Individual
JASMINE VICKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
190 HANDLEY RD STE C, TYRONE, GA 30290-2178
(770) 430-2960
(888) 981-1653
Mailing address
190 HANDLEY RD STE C, TYRONE, GA 30290-2178
(770) 430-2960
(888) 981-1653
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-83727
GA
Other
Enumeration date
01/05/2021
Last updated
09/04/2025
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