Rylee Jackson

NPI #1972165843 in Holyoke, Massachusetts

Provider Information

NPI Number: 1972165843
Entity Type: Individual
Name: Rylee Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 1, 2019
Last Updated: Jul 1, 2019

Practice Location

Address: 4 BRAY PARK DR
City: Holyoke
State: Massachusetts
ZIP Code: 01040-1650
Phone: (818) 241-6780

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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