Jessica Marie Shackelford

NPI #1407679244 in Rogers, Arkansas

Provider Information

NPI Number: 1407679244
Entity Type: Individual
Name: Jessica Marie Shackelford
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 31, 2024
Last Updated: Oct 31, 2024

Practice Location

Address: 2323 W CHESTNUT ST STE 6
City: Rogers
State: Arkansas
ZIP Code: 72756-3520
Phone: (479) 346-5459

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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