Brandon Nicholas Jackson
NPI #1184365959 in Three Rivers, Michigan
Provider Information
- NPI Number
- 1184365959
- Entity Type
- Individual
- Name
- Brandon Nicholas Jackson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Apr 5, 2022
- Last Updated
- Apr 5, 2022
Practice Location
- Address
- 16587 ENTERPRISE DR STE E
- City
- Three Rivers
- State
- Michigan
- ZIP Code
- 49093-7902
- Phone
- (213) 864-1870
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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