Stephanie Lynn Jackson

NPI #1508335936 in Oak Harbor, Washington

Provider Information

NPI Number: 1508335936
Entity Type: Individual
Name: Stephanie Lynn Jackson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Nov 14, 2018
Last Updated: Nov 14, 2018

Practice Location

Address: 31955 STATE ROUTE 20 STE 3
City: Oak Harbor
State: Washington
ZIP Code: 98277-5211
Phone: (360) 279-9000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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