SAMUEL JACKSON
Behavior Analyst
Active
Individual
NPI: 1376151266
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Behavior Technician | 106S00000X | No | - |
| Behavior Analyst | 103K00000X | Yes | 12369125 (GA) |
Frequently Asked Questions
NPI 1376151266 is the National Provider Identifier for SAMUEL JACKSON, a Behavior Analyst provider located in Columbus, GA. This NPI was enumerated on July 16, 2020.
SAMUEL JACKSON practices at 1110 13TH ST STE D, Columbus, GA 31901.
Quick Facts
- NPI
- 1376151266
- Type
- Individual
- Enumerated
- Jul 16, 2020
- Last Updated
- Oct 25, 2023
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