Malik Omarion Jackson-Smith

NPI #1013602895 in Eastpointe, Michigan

Provider Information

NPI Number: 1013602895
Entity Type: Individual
Name: Malik Omarion Jackson-Smith
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 7, 2023
Last Updated: Apr 7, 2023

Practice Location

Address: 22851 LEXINGTON AVE
City: Eastpointe
State: Michigan
ZIP Code: 48021-1990
Phone: (586) 218-8570

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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