Maranda Faye Jackson

NPI #1497145692 in Tulsa, Oklahoma

Provider Information

NPI Number: 1497145692
Entity Type: Individual
Name: Maranda Faye Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Jan 27, 2015
Last Updated: Jan 27, 2015

Practice Location

Address: 650 S PEORIA AVE
City: Tulsa
State: Oklahoma
ZIP Code: 74120-4429
Phone: (918) 587-9471

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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