Quanisha Jackson

NPI #1124592217 in Frankfort, Illinois

Provider Information

NPI Number: 1124592217
Entity Type: Individual
Name: Quanisha Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 11, 2019
Last Updated: Jan 11, 2019

Practice Location

Address: 21000 S FRANKFORT SQUARE RD STE D
City: Frankfort
State: Illinois
ZIP Code: 60423-9386
Phone: (815) 469-1500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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