MICAELA SHANTA JACKSON

LAFAYETTE, LA
NPI1376106732
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: LA  106S00000X)
Enumeration Date2019-04-20
Last Update Date2019-04-20
Business Address
MICAELA SHANTA JACKSON
1003 HUGH WALLIS RD S STE B2
LAFAYETTE, LA 70508-2528
Phone number: 337-205-4444
Mailing Address
MICAELA SHANTA JACKSON
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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