Tamera I Jackson

NPI #1083436190 in Fort Pierce, Florida

Provider Information

NPI Number: 1083436190
Entity Type: Individual
Name: Tamera I Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 29, 2024
Last Updated: Oct 29, 2024

Practice Location

Address: 906 SEMINOLE DR
City: Fort Pierce
State: Florida
ZIP Code: 34982-7648
Phone: (772) 475-5313

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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