Rick Jackson

NPI #1003277997 in Phoenix, Arizona

Provider Information

NPI Number: 1003277997
Entity Type: Individual
Name: Rick Jackson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Enumeration Date: Mar 19, 2016
Last Updated: Mar 19, 2016

Practice Location

Address: 34225 N 27TH DR STE 5
City: Phoenix
State: Arizona
ZIP Code: 85085-6087
Phone: (602) 810-1210

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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