Dora Renee Jackson

NPI #1003672338 in Manteca, California

Provider Information

NPI Number: 1003672338
Entity Type: Individual
Name: Dora Renee Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 23, 2024
Last Updated: Feb 23, 2024

Practice Location

Address: 1926 APOLLO CT
City: Manteca
State: California
ZIP Code: 95336-8541
Phone: (205) 260-1701

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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