Chase Vaughn Jackson-Harris

NPI #1538626809 in Lutz, Florida

Provider Information

NPI Number: 1538626809
Entity Type: Individual
Name: Chase Vaughn Jackson-Harris
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 22, 2019
Last Updated: Feb 22, 2019

Practice Location

Address: 17535 DARBY LN
City: Lutz
State: Florida
ZIP Code: 33558-4817
Phone: (813) 485-8444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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