Mara Jackson

NPI #1588411987 in Burleson, Texas

Provider Information

NPI Number: 1588411987
Entity Type: Individual
Name: Mara Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 2, 2024
Last Updated: May 2, 2024

Practice Location

Address: 110 SW THOMAS ST
City: Burleson
State: Texas
ZIP Code: 76028-3818
Phone: (682) 459-5673

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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