Individual provider · Type 1 NPI
Jayleene Jackson
Developmental Therapist · Tampa, FL
Practice location
4140 Gauge Line Loop
Tampa, FL 33624-5130
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | 30878571 (PA) |
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 1326787334
Jayleene Jackson's National Provider Identifier is 1326787334, issued on May 31, 2022. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Tampa, FL. The record was last updated on Jun 2, 2022.