Tatyana Jackson
NPI #1487542320 in Merrionette Park, Illinois
Provider Information
- NPI Number
- 1487542320
- Entity Type
- Individual
- Name
- Tatyana Jackson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Jun 27, 2025
- Last Updated
- Jun 27, 2025
Practice Location
- Address
- 11750 S HOMAN AVE TRLR 212
- City
- Merrionette Park
- State
- Illinois
- ZIP Code
- 60803-4554
- Phone
- (312) 937-2141
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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