NPI 1184076812

Tara Jackson, MED

Practitioner Developmental Therapist Atlanta, GA

Practice location

Address: 260 Peachtree St NW STE 2200, Atlanta, GA 30303-1292
Phone: (404) 931-4220
Mailing address: 500 Fairway Dr STE 102, Deerfield Beach, FL 33441-1817

Registered specialties (2)

Developmental Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Q00000X

Other Developmental Therapist providers in Georgia →

Behavior Analyst

Behavioral Health & Social Service Providers Taxonomy 103K00000X

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Registry record

NPI: 1184076812
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Jul 2016
Record last updated: 24 Aug 2016

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.