BRANDON SCOTT BACKUS JACKSON

BREMERTON, WA
NPI1164952644
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2017-06-15
Last Update Date2023-06-21
Business Address
BRANDON SCOTT BACKUS JACKSON
5455 ALMIRA DR NE
BREMERTON, WA 98311-8330
Phone number: 360-373-5031
Mailing Address
BRANDON SCOTT BACKUS JACKSON
5455 ALMIRA DR NE
BREMERTON, WA 98311-8330
Phone number: 360-373-5031
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