Paula Renee Jackson

NPI #1578874574 in Bloomfield, New Mexico

Provider Information

NPI Number: 1578874574
Entity Type: Individual
Name: Paula Renee Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Jun 24, 2010
Last Updated: Jul 8, 2020

Practice Location

Address: 101 E BROADWAY AVE
City: Bloomfield
State: New Mexico
ZIP Code: 87413-6235
Phone: (505) 330-8220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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