Gates Jackson

NPI #1891651303 in Avondale, Arizona

Provider Information

NPI Number: 1891651303
Entity Type: Individual
Name: Gates Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 29, 2025
Last Updated: Dec 29, 2025

Practice Location

Address: 12409 W INDIAN SCHOOL RD STE AVONDALE
City: Avondale
State: Arizona
ZIP Code: 85392-9502
Phone: (855) 223-7123

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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