Keshawn Jackson

NPI #1447055132 in Blue Island, Illinois

Provider Information

NPI Number: 1447055132
Entity Type: Individual
Name: Keshawn Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 17, 2025
Last Updated: Feb 17, 2025

Practice Location

Address: 12452 FAIRVIEW AVE
City: Blue Island
State: Illinois
ZIP Code: 60406-1565
Phone: (708) 800-4328

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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