Jackson Daniel Sosin

NPI #1003502261 in Las Cruces, New Mexico

Provider Information

NPI Number: 1003502261
Entity Type: Individual
Name: Jackson Daniel Sosin
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 12, 2023
Last Updated: Apr 12, 2023

Practice Location

Address: 1675 HICKORY LOOP
City: Las Cruces
State: New Mexico
ZIP Code: 88005-6587
Phone: (575) 652-3155

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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