Loretta R Golden-Jackson

NPI #1649574260 in Park Forest, Illinois

Provider Information

NPI Number: 1649574260
Entity Type: Individual
Name: Loretta R Golden-Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Dec 23, 2010
Last Updated: Dec 23, 2010

Practice Location

Address: 73 WESTWOOD DR
City: Park Forest
State: Illinois
ZIP Code: 60466-1414
Phone: (708) 754-8815

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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