Amara-Niani Jackson

NPI #1003396797 in Thurmont, Maryland

Provider Information

NPI Number: 1003396797
Entity Type: Individual
Name: Amara-Niani Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 21, 2018
Last Updated: Aug 21, 2018

Practice Location

Address: 6504 MOUNTAINDALE RD
City: Thurmont
State: Maryland
ZIP Code: 21788-2719
Phone: (443) 243-7647

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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