Joshua Jackson

NPI #1114770930 in Beaverton, Oregon

Provider Information

NPI Number: 1114770930
Entity Type: Individual
Name: Joshua Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 10, 2024
Last Updated: Apr 10, 2024

Practice Location

Address: 1700 NW 167TH PL STE 240
City: Beaverton
State: Oregon
ZIP Code: 97006-4872
Phone: (855) 772-8847

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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