Individual
JESSAKA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 VESTAVIA PKWY STE 2400, VESTAVIA, AL 35216-3797
(312) 965-2997
Mailing address
306 N KENSINGTON AVE, LA GRANGE PARK, IL 60526-1870
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2024-133
AL
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/08/2020
Last updated
02/16/2026
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