Individual provider · Type 1 NPI

Deja Jackson

Developmental Therapist · St. Petersburg, FL

NPI number 1659022192 Active

Practice location

7010 15th St N
St. Petersburg, FL 33702-5738

Call (727) 200-4045 Map

Mailing address

14502 Raven Brk Apt 302
Tampa, FL 33613-2977

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 1659022192

Deja Jackson's National Provider Identifier is 1659022192, issued on Jan 17, 2022. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in St. Petersburg, FL. The record was last updated on Jan 17, 2022.