Organization · Type 2 NPI
The Kristian Jacob Autism Center
Developmental Disabilities Clinic/Center · Jackson, MS
Practice location
3010 Brisbane Ln
Jackson, MS 39204-4101
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Disabilities Clinic/Center Primary | 261QD1600X | None listed |
Developmental Disabilities Clinic/Center: An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
About NPI 1427994557
The Kristian Jacob Autism Center's National Provider Identifier is 1427994557, issued on Apr 29, 2026. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Jackson, MS. The record was last updated on Apr 29, 2026.