Jackson, Tara

Jackson, Tara is an individual health care provider with primary practice located at 260 Peachtree St Nw Ste 2200 , Atlanta GA 30303-1292. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Behavioral Health & Social Service Providers / Behavioral Analyst. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist is her primary health care specialty. Jackson, Tara can be contacted via phone (404) 931-4220.

Contact Information

Primary practice address
260 Peachtree St Nw Ste 2200 Atlanta GA 30303-1292
Phone: (404) 931-4220
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1184076812
LBN Legal business name Jackson, Tara
Credentials Master of Education (MED)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2016
Last updated Aug 24th, 2016 - about 8 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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