NPI 1023813037

Kennedy Jackson

Practitioner Assistant Behavior Analyst Stone Mtn, GA

Practice location

Address: 4700 Aberdeen Ln, Stone Mtn, GA 30083-4326
Phone: (404) 734-2062

Registered specialties (2)

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X

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Behavior Technician

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1023813037
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Feb 2025
Record last updated: 14 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.