Individual
BRUNA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9070 KIMBERLY BLVD STE 19-20, BOCA RATON, FL 33434-2855
(954) 988-0918
(954) 827-7625
Mailing address
9070 KIMBERLY BLVD STE 19-20, BOCA RATON, FL 33434-2855
(954) 988-0918
(954) 827-7625
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12476944
FL
106E00000X
Assistant Behavior Analyst
02414985
FL
Other
Enumeration date
02/16/2018
Last updated
10/28/2024
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