Individual
KIERA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6000 POPLAR AVE STE 250, MEMPHIS, TN 38119-3974
(901) 577-3000
Mailing address
4004 STEPHANIE LN APT 5, MEMPHIS, TN 38128-7117
(629) 238-6650
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-23-268248
TN
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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