Jackson, Deaundra Brisha

Jackson, Deaundra Brisha is an individual health care provider with primary practice located at 8219 Front Beach Rd Ste B # 2148 , Panama City Beach FL 32407-4822. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Jackson, Deaundra Brisha can be contacted via phone (850) 427-3079.

Contact Information

Primary practice address
8219 Front Beach Rd Ste B # 2148 Panama City Beach FL 32407-4822
Phone: (850) 427-3079
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 11938110 Florida

Profile Details

NPI number 1013368026
LBN Legal business name Jackson, Deaundra Brisha
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2016
Last updated Jan 5th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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