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Contact Information

DESTINY JACKSON
1240 OHARA DR
2304
JONESBORO, GA30236
 Phone: 678-228-0936
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
Indicates primary specialty

NPI Profile & details for DESTINY JACKSON · (Female)

NPI Number 1861335580
Status Active
Credentials
Entity Individual
Enumeration date 04/09/2026
Last updated 04/09/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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