Jackson, Brionka
Jackson, Brionka is an individual health care provider with primary practice located at 4080 Vine Ridge Dr , Powder Springs GA 30127-1788. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Jackson, Brionka can be contacted via phone (770) 763-8592.Contact Information
Primary practice address
4080 Vine Ridge Dr
Powder Springs GA 30127-1788
Phone: (770) 763-8592
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | 22-204210 | Georgia |
Profile Details
NPI number | 1386392256 |
---|---|
LBN Legal business name | Jackson, Brionka |
Credentials | RBT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 10th, 2022 |
Last updated | Mar 10th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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