Dominique Rena Jackson, BS

NPI #1639975725 in Altoona, Iowa

Provider Information

NPI Number: 1639975725
Entity Type: Individual
Name: Dominique Rena Jackson, BS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Credential: BS
Enumeration Date: Feb 20, 2025
Last Updated: Feb 20, 2025

Practice Location

Address: 2560 1ST AVE S APT 108
City: Altoona
State: Iowa
ZIP Code: 50009-1756
Phone: (402) 317-9235

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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