Grace Elisabeth Jackson

NPI #1518739838 in Ellensburg, Washington

Provider Information

NPI Number: 1518739838
Entity Type: Individual
Name: Grace Elisabeth Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 30, 2023
Last Updated: Jul 24, 2024

Practice Location

Address: 401 E MOUNTAIN VIEW AVE STE 4
City: Ellensburg
State: Washington
ZIP Code: 98926-3795
Phone: (509) 852-4020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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