SAMUEL ELI JACKSON

COLUMBUS, GA
NPI1376151266
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103K00000X Behavior Analyst
(Licence: GA  12369125)
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2020-07-16
Last Update Date2023-10-25
Business Address
SAMUEL ELI JACKSON
1110 13TH ST STE D
COLUMBUS, GA 31901-2246
Phone number: 706-780-1704
Mailing Address
SAMUEL ELI JACKSON
1110 13TH ST STE D
COLUMBUS, GA 31901-2246
Phone number: 706-780-1704
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