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1184076812
TARA JACKSON
ATLANTA, GA
NPI
1184076812
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Additional Taxonomies
103K00000X Behavior Analyst
Enumeration Date
2016-07-06
Last Update Date
2016-08-24
Business Address
TARA JACKSON M.ED.
260 PEACHTREE ST NW STE 2200
ATLANTA, GA 30303-1292
Phone number: 404-931-4220
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Mailing Address
TARA JACKSON M.ED.
500 FAIRWAY DR STE 102
DEERFIELD BEACH, FL 33441-1817
Phone number: 888-880-9270
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