Alexis Jackson-Bennett

NPI #1417658204 in Clinton, Maryland

Provider Information

NPI Number: 1417658204
Entity Type: Individual
Name: Alexis Jackson-Bennett
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Mar 17, 2023
Last Updated: Mar 17, 2023

Practice Location

Address: 8101 HOLLY LN
City: Clinton
State: Maryland
ZIP Code: 20735-3133
Phone: (301) 758-8132

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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