Justice Jackson

NPI #1124614896 in New Rochelle, New York

Provider Information

NPI Number: 1124614896
Entity Type: Individual
Name: Justice Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 17, 2020
Last Updated: Dec 17, 2020

Practice Location

Address: 466 MAIN ST
City: New Rochelle
State: New York
ZIP Code: 10801-6431
Phone: (718) 769-2698

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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