Amber Marie Jackson

NPI #1992483788 in Pontiac, Michigan

Provider Information

NPI Number: 1992483788
Entity Type: Individual
Name: Amber Marie Jackson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jul 11, 2023
Last Updated: Jul 11, 2023

Practice Location

Address: 51111 WOODWARD AVE STE 150
City: Pontiac
State: Michigan
ZIP Code: 48342-5037
Phone: (248) 977-5310

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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