Elain Jackson

NPI #1003772740 in Southfield, Michigan

Provider Information

NPI Number: 1003772740
Entity Type: Individual
Name: Elain Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 26, 2025
Last Updated: Dec 26, 2025

Practice Location

Address: 29566 NORTHWESTERN HWY STE 100
City: Southfield
State: Michigan
ZIP Code: 48034-1036
Phone: (248) 301-1098

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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