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1134590672
FREDERICKA JACKSON
BATON ROUGE, LA
NPI
1134590672
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: LA 10)
Enumeration Date
2015-10-09
Last Update Date
2015-10-09
Business Address
-- FREDERICKA JACKSON
9550 UNITED PLAZA BLVD STE 702 -N
BATON ROUGE, LA 70809-0200
Phone number: 954-603-7885
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Mailing Address
-- FREDERICKA JACKSON
2688 OLD TOWNE DR
ZACHARY, LA 70791-2777
Phone number: 225-993-5993
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