MEDICARE: ANDREA ZACHARIA JACKSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106E00000X	Assistant Behavior Analyst		GA

General Provider Information

NPI Number	:	1811843246
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA ZACHARIA JACKSON

Provider Business Mailing Address
First Line	:	201 CROSSFIELD DR
Second Line	:
City	:	WARNER ROBINS
State	:	GA
Zip	:	31088-2026
Country	:	US
Telephone Number	:	478-397-9004
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 CROSSFIELD DR
Second Line	:
City	:	WARNER ROBINS
State	:	GA
Zip	:	31088-2026
Country	:	US
Telephone Number	:	478-397-9004
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

Similar Medicare Providers

1346371473 — SARAH STRAND ATC
Practice Location Address:

2026 W WARNER AVE # 2
CHICAGO, IL
60618-3030

Practice Phone: 773-301-6259
Practice Fax:

1760339741 — ANGELO MOBLEY
Practice Location Address:

940 GA HIGHWAY 96 STE C
WARNER ROBINS, GA
31088-2585

Practice Phone: 229-591-4000
Practice Fax:

1992652986 — TRISTEE LEE
Practice Location Address:

940 GA HIGHWAY 96 STE C
WARNER ROBINS, GA
31088-2585

Practice Phone: 229-591-4000
Practice Fax:

1669252854 — PRESERVATION WELLNESS CO.
Practice Location Address:

109 CONSTITUTION DR STE 500
WARNER ROBINS, GA
31088-8047

Practice Phone: 404-683-9844
Practice Fax:

1194672196 — TORRIANA HICKS
Practice Location Address:

127 S 6TH ST
WARNER ROBINS, GA
31088-4699

Practice Phone: 229-591-4000
Practice Fax:

1710834726 — ALCALEN GOMBAR
Practice Location Address:

940 GA HIGHWAY 96 STE C
WARNER ROBINS, GA
31088-2585

Practice Phone: 229-591-4000
Practice Fax:

Directions to “ ANDREA ZACHARIA JACKSON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.