SearchGeorgiaBehavior Technician

Deallen Jackson

NPI 1487412920 · on the registry since 2024

Practice

Address
2131 Stallings St Nw # 2832
Covington, GA 30014
Phone
(770) 895-2978
Fax
(678) 550-9431
Organisation at this address
Performance Aba Therapy Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
Behavior Technician
106S00000X
Sex
Male
Record last updated
2024-03-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia