Leslie Jackson

NPI #1144900937 in Clermont, Florida

Provider Information

NPI Number: 1144900937
Entity Type: Individual
Name: Leslie Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 18, 2023
Last Updated: Jul 18, 2023

Practice Location

Address: 17335 PAGONIA RD STE 109
City: Clermont
State: Florida
ZIP Code: 34711-6011
Phone: (407) 614-4299

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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