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Manya Jackson, BCBA
NPI 1730512880 · on the registry since 2013 · sole proprietor
Practice
- Address
- 1233 Eagles Landing Pkwy Ste A
Stockbridge, GA 30281 - Phone
- (404) 480-3842
- Fax
- (615) 815-1946
- Organisation at this address
- Bhg Xlvii, Llc
Healthqwest Llc
Mba Wellness Centers
Chiropractic Health Center, Llc
Peachtree Hospice Of Georgia, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 35
Additional practice sites
- 140 Camden Woods Pl, Dallas, GA
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-01-21
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