Athena Jackson
NPI #1104643832 in Norwich, Connecticut
Provider Information
- NPI Number
- 1104643832
- Entity Type
- Individual
- Name
- Athena Jackson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Sep 24, 2024
- Last Updated
- Sep 24, 2024
Practice Location
- Address
- 113 SALEM TPKE STE 200
- City
- Norwich
- State
- Connecticut
- ZIP Code
- 06360-6484
- Phone
- (888) 754-0398
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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