Kellien Michelle Jackson

NPI #1477187516 in Magnolia, Texas

Provider Information

NPI Number: 1477187516
Entity Type: Individual
Name: Kellien Michelle Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 27, 2020
Last Updated: Feb 27, 2020

Practice Location

Address: 2515 SUPERIOR RD
City: Magnolia
State: Texas
ZIP Code: 77354-1431
Phone: (346) 225-7998

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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