Marry Emma Jackson, QMHS ASSOC

NPI #1871254631 in Moraine, Ohio

Provider Information

NPI Number: 1871254631
Entity Type: Individual
Name: Marry Emma Jackson, QMHS ASSOC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: QMHS ASSOC
Enumeration Date: Jan 4, 2022
Last Updated: Jan 4, 2022

Practice Location

Address: 5290 COBBLEGATE DRIVE
Address 2: 7TH FLOOR
City: Moraine
State: Ohio
ZIP Code: 45439-4540
Phone: (937) 293-2510

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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