Individual
WELAUNDRIA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
35 TECHNOLOGY PKWY S STE 100, NORCROSS, GA 30092-2996
(833) 628-8476
(770) 200-1563
Mailing address
833 HURRICANE SHOALS RD NE, LAWRENCEVILLE, GA 30043-4821
(833) 628-8476
(770) 200-1563
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-36038
GA
103K00000X
Behavior Analyst
2019-040
AL
Other
Enumeration date
07/29/2019
Last updated
03/29/2024
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