Jasica Macklin

NPI #1093438533 in Newton, Mississippi

Provider Information

NPI Number: 1093438533
Entity Type: Individual
Name: Jasica Macklin
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Sep 20, 2022
Last Updated: Sep 20, 2022

Practice Location

Address: 212 S MAIN ST
City: Newton
State: Mississippi
ZIP Code: 39345-2613
Phone: (601) 401-2700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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