Diane Jackson

NPI #1720408966 in Pahrump, Nevada

Provider Information

NPI Number: 1720408966
Entity Type: Individual
Name: Diane Jackson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Enumeration Date: Apr 25, 2014
Last Updated: Apr 25, 2014

Practice Location

Address: 981 W SIMKINS RD
City: Pahrump
State: Nevada
ZIP Code: 89060-2688
Phone: (775) 209-1123

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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