MS. Patricia A Jackson

NPI #1104458496 in Belleview, Florida

Provider Information

NPI Number: 1104458496
Entity Type: Individual
Name: MS. Patricia A Jackson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Feb 5, 2020
Last Updated: Feb 5, 2020

Practice Location

Address: 10252 S HWY 441
Address 2: UNIT 3
City: Belleview
State: Florida
ZIP Code: 34420
Phone: (352) 559-2539

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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