MISS Shoshana Alleene Jackson

NPI #1255993150 in Tulare, California

Provider Information

NPI Number: 1255993150
Entity Type: Individual
Name: MISS Shoshana Alleene Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 1, 2019
Last Updated: Jul 1, 2019

Practice Location

Address: 160 N L ST
City: Tulare
State: California
ZIP Code: 93274-4114
Phone: (559) 837-1223

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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