Female

Regina Jackson

Behavior Technician in Tallahassee, FL(View on Map)

Full Name

Regina Jackson

NPI Number

1053825778

NPI Type

Individual Provider

Gender

Female

Enumeration Date

11/17/2017

Specialties

(Taxonomies)

Code

106S00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

3500 DEPAUW BLVD STE 3070
3600 MACLAY BLVD S STE 100

City

Indianapolis
Tallahassee

State

IN
FL

Postal Code

46268-6135
32312-1275

Country

US
US

Telephone Number

(855) 324-0885
(850) 333-1279

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/18/2022

Provider Address

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