Alexa Jackson

NPI #1003525593 in Kentwood, Michigan

Provider Information

NPI Number: 1003525593
Entity Type: Individual
Name: Alexa Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 23, 2022
Last Updated: Nov 23, 2022

Practice Location

Address: 3361 36TH ST SE
City: Kentwood
State: Michigan
ZIP Code: 49512-2809
Phone: (616) 726-1909

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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