Individual provider · Type 1 NPI

Kira Beth Jackson

Developmental Therapist · Pompano Beach, FL

NPI number 1144663675 Active

Practice location

2708 NE 14th St, Suite 5
Pompano Beach, FL 33062-3565

Call (888) 880-9270 Map

Mailing address

21373 Town Lakes Dr, Apt 1534
Boca Raton, FL 33486-8875

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 1144663675

Kira Beth Jackson's National Provider Identifier is 1144663675, issued on Apr 15, 2013. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Pompano Beach, FL. The record was last updated on Apr 15, 2013.