Kailyn M Jackson

NPI #1417450974 in Irving, Texas

Provider Information

NPI Number: 1417450974
Entity Type: Individual
Name: Kailyn M Jackson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Mar 12, 2018
Last Updated: Mar 12, 2018

Practice Location

Address: 400 E ROYAL LN
City: Irving
State: Texas
ZIP Code: 75039-3540
Phone: (808) 354-0090

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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