Individual provider · Type 1 NPI

Kimberly R. Jackson

Developmental Therapist · Warren, AR

NPI number 1043597867 Active

Practice location

206 Bragg St
Warren, AR 71671-2500

Call (870) 226-7844 Map

Fax (870) 226-2798

Mailing address

1 Childrens Way, Slot 512-39
Little Rock, AR 72202-3500

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1043597867

Kimberly R. Jackson's National Provider Identifier is 1043597867, issued on Nov 8, 2011. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Warren, AR. The record was last updated on Nov 8, 2011.