Alexandria H Jackson

NPI #1790497410 in Liverpool, New York

Provider Information

NPI Number: 1790497410
Entity Type: Individual
Name: Alexandria H Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 14, 2022
Last Updated: Dec 14, 2022

Practice Location

Address: 7767 OSWEGO RD
City: Liverpool
State: New York
ZIP Code: 13090-2322
Phone: (718) 215-5311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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