Ellen Jackson

NPI #1235743907 in Nashville, Indiana

Provider Information

NPI Number: 1235743907
Entity Type: Individual
Name: Ellen Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 1, 2020
Last Updated: Sep 1, 2020

Practice Location

Address: 9900 GILMORE RIDGE RD
City: Nashville
State: Indiana
ZIP Code: 47448-9731
Phone: (812) 322-0313

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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